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21 papers 25 to 100 followers May thurner
By Ricardo Sordo Residente de cirugía
Wael Ibrahim, Zakareya Al Safran, Hosam Hasan, Wael Abu Zeid
May-Thurner syndrome or iliac vein compression syndrome is associated with deep vein thrombosis (DVT) resulting from chronic compression of the left iliac vein against lumbar vertebrae by the overlying right common iliac artery. Historically, May-Thurner syndrome has been treated with anticoagulation therapy. However, this therapy can be problematic when given alone, because it prevents the propagation of the thrombus without eliminating the existing clot. Furthermore, it does not treat the underlying mechanical compression...
2012: Annals of Vascular Diseases
Shivani Kalu, Payal Shah, Aparna Natarajan, Nwabundo Nwankwo, Usman Mustafa, Nasir Hussain
May-Thurner syndrome (MTS) has been recognized as a clinical entity for almost six decades. The true incidence rate of MTS is unknown and perhaps ranges from 22 to 32% according to the autopsy studies in the early twentieth century. However, MTS related deep venous thrombosis (DVT) accounts for only 2%-3% of all lower limb DVTS. In MTS, the left common iliac vein is compressed against the fifth lumbar vertebrae by the right common iliac artery, as it crosses in front of the vein. Chronic pulsation of the artery is thought to cause elastin, collagen deposition, and intimal fibrosis leading to formation of venous spur and venous thrombosis...
2013: Case Reports in Vascular Medicine
Nicholas F Brazeau, Harlan B Harvey, Erique G Pinto, Amy Deipolyi, Richard L Hesketh, Rahmi Oklu
For over fifty years, the pathogenesis of May-Thurner syndrome (MTS) has been associated with chronic left common iliac vein compression resulting in the formation of intraluminal, permanent obstructive lesions. However, despite this association, the mechanism by which compression produces these lesions is unknown. Diagnostic accuracy of MTS is critical since it often afflicts young patients requiring endovascular management. This review will focus on the historical, embryological and evolutionary description of MTS and examine its development, diagnosis, clinical management and potential diagnostic errors...
March 2013: VASA. Zeitschrift Für Gefässkrankheiten
T Matthew Jones, David C Cassada, R Eric Heidel, Oscar G Grandas, Scott L Stevens, Michael B Freeman, James D Edmondson, Mitchell H Goldman
Leg swelling is a common cause for vascular surgical evaluation, and iliocaval obstruction due to May-Thurner syndrome (MTS) can be difficult to diagnose. Physical examination and planar radiographic imaging give anatomic information but may miss the fundamental pathophysiology of MTS. Similarly, duplex ultrasonographic examination of the legs gives little information about central impedance of venous return above the inguinal ligament. We have modified the technique of duplex ultrasonography to evaluate the flow characteristics of the leg after tourniquet-induced venous engorgement, with the objective of revealing iliocaval obstruction characteristic of MTS...
November 2012: Annals of Vascular Surgery
Srinivas Chikkaswamy Budnur, Bhupinder Singh, Nagesh Chamarajnagar Mahadevappa, Babu Reddy, Manjunath C Nanjappa
May-Thurner syndrome is a rare condition that results from narrowing of the left common iliac vein (CIV) lumen due to pulsatile compression from the right common iliac artery (CIA) as it crosses anterior to it. We present a case of 24-years old female with left lower limb deep venous thrombosis (DVT). Duplex ultrasonography revealed extensive left-sided DVT. Magnetic resonance venogram suggested DVT with left CIV being compressed by right CIA. Pharmaco-mechanical catheter directed thrombolysis-thrombectomy followed by left iliac vein stent placement restored patency to the venous system, with resolution of symptoms...
January 2013: Cardiovascular Intervention and Therapeutics
Shaunagh McDermott, George Oliveira, Emel Ergül, Nicholas Brazeau, Stephan Wicky, Rahmi Oklu
PURPOSE: We aimed to evaluate the longitudinal stability of left common iliac vein (LCIV) compression by the right common iliac artery on magnetic resonance venography (MRV). MATERIALS AND METHODS: This retrospective study included 214 patients diagnosed with May-Thurner syndrome by MRV. We identified a subset of patients who underwent contrast-enhanced cross-sectional imaging of the pelvis six months before or anytime after the MRV and did not undergo any interventional venous procedures between the two studies; 36 patients met these criteria...
January 2013: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
Matthew Peters, Rashad Khazi Syed, Morgan Katz, John Moscona, Christopher Press, Vikram Nijjar, Mohannad Bisharat, Drew Baldwin
May-Thurner syndrome is a rarely diagnosed condition in which patients develop iliofemoral deep venous thrombosis (DVT) due to an anatomical variant in which the right common iliac artery overlies and compresses the left common iliac vein against the lumbar spine. This variant has been shown to be present in over 20% of the population; however, it is rarely considered in the differential diagnosis of DVT, particularly in patients with other risk factors. Systemic anticoagulation alone is insufficient treatment, and a more aggressive approach is necessary to prevent recurrent DVT...
July 2012: Proceedings of the Baylor University Medical Center
A R Gil Martín, M Carreras Aja, I Arrieta Ardieta, I Labayen Azparren
Iliac vein compression syndrome (also known as May-Thurner syndrome or Cockett's syndrome) is a rare clinical entity in which the left common iliac vein is compressed when it passes between the right common iliac artery and the spine. The sustained compression and trauma caused by the pulsatile force of the artery on the vein damage the intima and lead to the formation of membranes or bands in the vascular lumen that hinder or obstruct the flow of blood in the vein, favoring thrombus formation. The current treatment strategy of choice is endovascular vein patch angioplasty and stenting with the aim of improving the caliber of the lumen and enabling normal venous drainage...
September 2014: Radiología
Pasithorn A Suwanabol, Girma Tefera, Margaret L Schwarze
Although phlegmasia cerulea dolens, May-Thurner syndrome, and nutcracker syndrome are rare entities, knowledge of these syndromes associated with the deep veins is essential. This study presents current management of these disorders, including diagnostic and interventional strategies. Endovascular techniques have evolved and now play a significant role in the treatment of both phlegmasia cerulea dolens and May-Thurner syndrome. However, endovascular therapy for nutcracker syndrome remains untested.
December 2010: Perspectives in Vascular Surgery and Endovascular Therapy
Zsolt Kecskeméthy, Jiří Holý
May-Thurner syndrome, a pelvic vein congenital anomaly is the consequence of compression of the left common iliacal vein by the overlying right common iliacal artery that results in an increased risk for ileofemoral deep vein thrombosis. Authors present a case of a young female with aberration of the pelvic vein, who had also heterozygous Leiden mutation. After confirmation of the diagnosis of May-Thurner syndrome, plastic surgery of the common iliacal vein was performed and anticoagulant treatment was given...
January 23, 2011: Orvosi Hetilap
John F Canales, Zvonimir Krajcer
No abstract text is available yet for this article.
2010: Texas Heart Institute Journal
Ung Bae Jeon, Jin Wook Chung, Hwan Jun Jae, Hyo-Cheol Kim, Sang Joon Kim, Jongwon Ha, Jae Hyung Park
OBJECTIVE: The purpose of this study was to use CT venography to evaluate long-term patency and changes in the iliac veins after stent placement for acute iliofemoral vein thrombosis due to May-Thurner syndrome. MATERIALS AND METHODS: From December 1999 to July 2007, 30 patients (22 women, eight men; age range, 30-78 years; mean, 56.7 years) with acute iliofemoral vein thrombosis due to May-Thurner syndrome diagnosed with CT venography were treated with catheter-directed thrombolysis and stent placement...
September 2010: AJR. American Journal of Roentgenology
Kamil Gurel, Safiye Gurel, Erdal Karavas, Yavuz Buharalıoglu, Bahadir Daglar
Visualization of lower extremity veins with MR venography still needs improvement. The latest advancement is direct contrast-enhanced 3D MR venography which is based on display of venous system during direct injection of paramagnetic extracellular contrast agent into pedal veins. We used automated injection of contrast agent with a power injector makings this application simpler and faster, achieved to show the iliac vein compression syndrome and post-thrombotic changes of the left iliac and femoral veins.
November 2011: European Journal of Radiology
Neil Moudgill, Eric Hager, Carin Gonsalves, Robert Larson, Joseph Lombardi, Paul DiMuzio
May-Thurner syndrome is a rare clinical entity involving venous obstruction of the left lower extremity. Obstruction occurs secondary to compression of the left common iliac vein between the right common iliac artery and the underlying vertebral body. Current management largely involves endovascular therapy. A review was conducted of six studies containing at least five patients with May-Thurner syndrome treated by endovascular therapy. We compiled data on 113 patients, analyzing patient demographics, treatment details, and outcome...
November 2009: Vascular
I Mihmanli, F Kantarci, S O Ulus, U Bozlar, A Kadioglu, D Yildirim
We report two cases of lower extremity venous pathology mimicking deep vein thrombosis (DVT). The first case was a 20-year-old male with swelling in the left leg. Colour Doppler ultrasound (CDUS) demonstrated a continuous flow pattern, and computed tomography (CT) revealed compression of the dilated left common iliac vein by the right common iliac artery (May-Thurner syndrome). This dilatation of the vein was caused by overload due to the drainage of the gluteal arteriovenous malformations into this vein. The second case was a 55-year-old female with swelling and pain of the left leg persisting for a year following an operation of a herniated lumbar disk...
August 2007: Ultraschall in der Medizin
Levent Oguzkurt, Fahri Tercan, M Ali Pourbagher, Osman Kizilkilic, Riza Turkoz, Fatih Boyvat
OBJECTIVE: To present the computed tomography (CT) findings for the iliac veins of 10 patients who had left-sided lower extremity deep vein thrombosis due to iliac vein compression syndrome. MATERIALS AND METHODS: The CT findings for 10 cases of left-sided acute or chronic deep vein thrombosis caused by iliac vein compression syndrome were retrospectively evaluated. The patients were five women and five men (mean age+/-S.D., 49.9+/-15.6 years). In each patient with iliac vein compression syndrome, the diagnosis of the compression was established by venography performed during endovascular treatment...
September 2005: European Journal of Radiology
O F Dogan, E Boke
The May-Thurner syndrome is an acquired stenosis of the left common iliac vein causing left lower leg edema, thigh discomfort, and deep venous thrombosis. This condition was first described by May and Thurner in 1956 in 22% of autopsy series. They concluded that it was the underlying factor for deep venous thrombosis on the left side. Here, we present three young female patients with May-Thurner syndrome, but without actual thrombosis. One of these patients was successfully treated with a Wall stent, and the other two patients underwent clinical follow-up with anticoagulant therapy...
May 2005: VASA. Zeitschrift Für Gefässkrankheiten
M R Grunwald, M J Goldberg, L V Hofmann
No abstract text is available yet for this article.
November 2004: AJR. American Journal of Roentgenology
Melina R Kibbe, Michael Ujiki, A Lee Goodwin, Mark Eskandari, James Yao, Jon Matsumura
OBJECTIVE: May-Thurner syndrome is a well-recognized anatomic variant that is associated with the development of symptomatic acute venous thrombosis of the left iliac vein. However, the natural frequency of compression of the left iliac vein and its clinical significance in asymptomatic disease has not been established. Therefore the purpose of this descriptive anatomic study was to determine the incidence of left common iliac vein compression in an asymptomatic population. METHODS: A retrospective analysis of medical records and helical abdominal computed tomography scans was conducted in 50 consecutive patients evaluated in the emergency department because of abdominal pain...
May 2004: Journal of Vascular Surgery
Lorraine M Wolpert, Omid Rahmani, Barry Stein, James J Gallagher, A David Drezner
Isolated left lower extremity swelling secondary to left iliac vein compression was first described by McMurrich in 1908, and defined anatomically by May and Thurner in 1957 and clinically by Cockett and Thomas in 1965. The left iliac vein is usually located posterior to the right iliac artery and can be compressed between the artery and the fifth lumbar vertebrae. Symptoms include left lower extremity edema, pain, varicosities, venous stasis changes, and deep venous thrombosis. Evaluation of these patients historically included a venous duplex scan to rule out deep venous thrombosis and an abdominal computed tomography scan to rule out pelvic mass...
January 2002: Vascular and Endovascular Surgery
2014-05-13 14:15:50
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