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[Extensive left-leg venous thrombosis in young patients: Should we perform extended tests?]

Víctor Gómez Carrillo1, Ivan Pérez de Pedro1, Cristina Salazar de Troya1

  • 1Servicio de Medicina Interna, Hospital Regional Universitario de Málaga, España.

Emergencias : Revista De La Sociedad Espanola De Medicina De Emergencias
|November 7, 2017
PubMed

Insights

May-Thurner syndrome, or right iliac artery compression syndrome, can cause left iliac vein thrombosis. Anatomical correction via stenting, alongside anticoagulation, may improve patient prognosis.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Medicine

Context:

  • Left iliac vein thrombosis (LIVT) can be a debilitating condition.
  • May-Thurner syndrome (MTS), characterized by right iliac artery compression of the left iliac vein, is an underdiagnosed cause of LIVT.
  • Identifying and treating the underlying anatomical cause of LIVT is crucial for effective management.

Purpose:

  • To report on 3 cases of LIVT secondary to MTS.
  • To highlight the role of endovascular treatment in anatomical correction for MTS-induced LIVT.
  • To emphasize the importance of understanding MTS for improving LIVT prognosis.

Summary:

  • Three cases of left iliac vein thrombosis were identified, with May-Thurner syndrome as the underlying etiology in all instances.
  • Two patients received endovascular treatment, including stent placement for anatomical correction of the compressed left iliac vein.
  • Anticoagulant therapy was administered concurrently, particularly in cases with coexisting hypercoagulability.

Impact:

  • This study underscores the significance of recognizing May-Thurner syndrome as a treatable cause of left iliac vein thrombosis.
  • Endovascular anatomical correction, in conjunction with anticoagulation, offers a promising therapeutic strategy.
  • Improved understanding and timely intervention can lead to better long-term outcomes for patients suffering from MTS-related venous thrombosis.
Abstract

Keywords:
AnticoagulaciónAnticoagulationLeft lower limbMiembre inferior izquierdoTrombosis venosaVenous thrombosis

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