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Endovascular management of may-thurner syndrome

Wael Ibrahim1, Zakareya Al Safran, Hosam Hasan

  • 1Medical Imaging Department, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Annals of Vascular Diseases
|April 5, 2013
PubMed

Insights

May-Thurner syndrome, a cause of deep vein thrombosis (DVT), involves left iliac vein compression. Endovascular treatment is increasingly recommended over anticoagulation alone for better outcomes.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Medicine

Background:

  • May-Thurner syndrome (MTS), or iliac vein compression syndrome, links deep vein thrombosis (DVT) to left iliac vein compression by the right common iliac artery.
  • Traditional treatment with anticoagulation alone is insufficient, as it doesn't resolve the clot or the underlying compression, leading to recurrent DVT or post-thrombotic syndrome.

Observation:

  • A 53-year-old male patient presented with May-Thurner syndrome.
  • The patient's condition was managed using endovascular treatment, which addresses both the mechanical compression and the thrombus burden.

Findings:

  • Endovascular management, including stent placement and chemical thrombolysis, actively treats the mechanical compression and thrombus in May-Thurner syndrome.
  • This approach offers a more comprehensive solution compared to anticoagulation therapy alone.

Implications:

  • Endovascular treatment is emerging as a preferred front-line therapy for May-Thurner syndrome, potentially reducing recurrence rates of DVT and post-thrombotic syndrome.
  • This case highlights the successful application of endovascular techniques in managing MTS, supporting its role in clinical practice.

Keywords:
iliac vein compression syndromemay-thurner syndrome

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