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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
[Iliac vein compression syndrome, the "May Thurner Syndrome"]
1Service de Radiodiagnostic et de Radiologie Interventionnelle, Hôpital Universitaire de Lausanne. francesco.doenz@chuv.ch
Insights
May Thurner Syndrome causes left iliac vein thrombosis due to right iliac artery compression. Endovascular treatment involving thrombolysis, angioplasty, and stenting is the preferred therapeutic approach.
Area of Science:
- Vascular Medicine
- Interventional Radiology
Background:
- May Thurner Syndrome involves left iliac vein compression by the right common iliac artery.
- This anatomical anomaly can lead to intimal wall changes and secondary thrombosis.
Purpose of the Study:
- To describe the pathophysiology of May Thurner Syndrome.
- To outline the current gold-standard endovascular treatment strategies.
Main Methods:
- Review of anatomical basis for venous compression.
- Description of endovascular techniques including thrombolysis, angioplasty, and stenting.
Main Results:
- Compression leads to venous stasis and potential thrombus formation.
- Endovascular intervention is effective in restoring venous flow.
Conclusions:
- May Thurner Syndrome is a significant cause of iliac vein thrombosis.
- Endovascular therapy offers a minimally invasive and effective treatment option.
Abstract:
The May Thurner Syndrome is a thrombosis of the left iliac vein due to the compression of the common iliac vein by the right common iliac artery. This results in intimal wall changes of the vein with secondary thrombosis. The treatment of choice is enovascular with thrombolysis followed by angioplasty with stenting.
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