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Endovascular treatment of iliac vein compression syndrome (May-Thurner)

Srinivas Chikkaswamy Budnur1, Bhupinder Singh, Nagesh Chamarajnagar Mahadevappa

  • 1Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India.

Cardiovascular Intervention and Therapeutics
|July 26, 2012
PubMed

Insights

May-Thurner syndrome, a rare cause of deep venous thrombosis (DVT), involves iliac vein compression. Successful treatment involved clot removal and stenting to restore blood flow.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Medicine

Background:

  • May-Thurner syndrome is an anatomical variant causing left iliac vein compression by the right iliac artery.
  • This compression can lead to deep venous thrombosis (DVT) in the left lower extremity.
  • Early diagnosis and intervention are crucial for managing venous thromboembolism.

Observation:

  • A 24-year-old female presented with acute left lower limb deep venous thrombosis (DVT).
  • Duplex ultrasonography confirmed extensive left-sided DVT.
  • Magnetic resonance venography revealed compression of the left common iliac vein (CIV) by the right common iliac artery (CIA).

Findings:

  • The patient underwent pharmaco-mechanical catheter-directed thrombolysis-thrombectomy.
  • A stent was placed in the left iliac vein to address the May-Thurner syndrome.
  • The intervention successfully restored venous patency and resolved DVT symptoms.

Implications:

  • This case highlights the effectiveness of endovascular treatment for May-Thurner syndrome-related DVT.
  • Prompt diagnosis and treatment can prevent long-term sequelae of chronic venous obstruction.
  • Optimizing treatment strategies for May-Thurner syndrome can improve patient outcomes in venous thromboembolism.

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