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…
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…
Compression and Superficial Varicosities Outperform Gonadal Vein Diameter in Differentiating Symptomatic from Asymptomatic Pelvic Venous Disorders: A Case-Control Study.
To assess whether gonadal vein (GV) diameter associates with pelvic venous disorder (PeVD)-consistent symptoms in women with pelvic varices, compared with proximal venous outflow obstruction (VOO; iliac/left renal vein stenosis/obstruction) and superficial varicosities. This retrospective, case-cont…
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…
Real-world practices in the management of pediatric iliofemoral deep vein thrombosis: Results of the ELITE-Kids survey.
Pediatric anticoagulation trials have advanced evidence-based management of pediatric venous thromboembolism, but evidence is limited on the use of endovascular thrombus removal (ETR), particularly regarding clinical indications, modality selection, anticoagulant and thrombolytic dosing, safety, eff…
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…