Clinical manifestations, diagnosis, and therapeutic advances in May-Thurner Syndrome: A comprehensive literature review.
May-Thurner Syndrome (MTS), or iliac vein compression syndrome, is an underdiagnosed vascular condition where the left common iliac vein is compressed, typically by the right common iliac artery. This impairs venous outflow from the left lower extremity, leading to manifestations ranging from chroni…
Deep vein thrombosis (DVT) in children, although rare, has shown an increase in incidence associated with a rise in risk factors. We report the case of a 17-year-old female patient with recurrent thrombosis complicated by pulmonary thromboembolism and post-thrombotic syndrome. Several risk factors w…
IVUS-Guided Salvage of Acute Venous Stent Fracture at Compression Site in May-Thurner Syndrome.
May-Thurner syndrome results from chronic compression of the left common iliac vein between the right common iliac artery and the lumbar vertebrae. It predisposes to iliofemoral deep-vein thrombosis. A 40-year-old man presented with recurrent ulceration of the left medial gaiter region. Computed tom…
The Need for a Practical Reporting Framework for Pelvic Venous Findings on Imaging.
Variable interpretation of venous findings on imaging can contribute to referrer and patient confusion. Pelvic venous findings, specifically, are commonly encountered in asymptomatic patients. Diagnoses based on such imaging findings alone (e.g., diagnoses of nutcracker syndrome, May-Thurner syndrom…
Recurrent transplant renal vein thrombosis caused by May-Thurner syndrome: a case report and review of literature.
Transplant renal vein thrombosis (TRVT) affects 0.1% to 4.2% of transplants, leading to graft loss in almost all cases. Mechanical factors are the most common underlying cause of TRVT, a category that includes May-Thurner syndrome (MTS). We report a 62-year-old man underwent left-sided kidney transp…
Endovascular management of symptomatic May-Thurner syndrome: real-world procedural approaches and outcomes.
May-Thurner syndrome (MTS) is characterized by extrinsic venous compression by the arterial system in ilio-caval territory leading to venous stasis, a predisposition to deep vein thrombosis (DVT), and edema. Endovascular interventions have become the cornerstone of treatment for patients with sympto…
Comparison of thrombectomy with stenting vs. thrombectomy alone for the treatment of acute iliofemoral deep vein thrombosis with May-Thurner syndrome.
May-Thurner syndrome (MTS) is a common underlying cause of left-sided iliofemoral deep vein thrombosis (DVT), and persistent iliac vein compression may lead to poor venous outflow and an increased risk of recurrence and post-thrombotic complications. Although endovascular thrombectomy is widely used…
Venous Intervention in Children: Current Practice and Controversies.
Although anticoagulation remains the cornerstone of treatment for pediatric deep vein thrombosis, there is increased utility of endovascular interventions including catheter-directed thrombolysis, mechanical thrombectomy, and pharmacomechanical thrombectomy in severe cases. Chronic venous occlusion…