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Venous compression syndromes: clinical features, imaging findings and management
S R Butros1, R Liu, G R Oliveira
1Department of Radiology, Division of Vascular Imaging and Interventional Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. sbutros@partners.org
The British Journal of Radiology
|August 3, 2013
Summary
Extrinsic venous compression, affecting young individuals, involves vein narrowing by surrounding structures. Diagnosis uses imaging, and treatment depends on symptoms and severity.
Area of Science:
- Vascular Medicine
- Anatomy
- Radiology
Background:
- Extrinsic venous compression occurs when adjacent structures narrow veins in confined anatomical spaces.
- This condition manifests in various locations and encompasses syndromes like Paget-Schroetter, Nutcracker, May-Thurner, and popliteal venous compression.
Purpose of the Study:
- To discuss various extrinsic venous compression syndromes.
- To highlight diagnostic methods and treatment considerations for these conditions.
Main Methods:
- Review of clinical findings and physical examination.
- Diagnostic imaging modalities including ultrasound, CT, and MR conventional venography.
Main Results:
- These venous compression syndromes typically affect young, healthy individuals.
- Significant morbidity can result from these conditions if left untreated.
Conclusions:
- Diagnosis relies on clinical presentation and advanced imaging.
- Treatment strategies are individualized based on symptom severity and hemodynamic impact.
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