1.May-Thurner Syndrome and Deep Vein Thrombosis.
The Korean Journal of Thoracic and Cardiovascular Surgery 2010;43(1):124-125
No abstract available.
May-Thurner Syndrome
;
Venous Thrombosis
2.Surgical Venous Thrombectomy for Chronic May-Thurner Sysndrome: 2 cases report.
Kilsoo YIE ; Yong Hoon KIM ; Sun Kyung MIN ; Hyoung Rae KIM ; Bong Ki LEE ; Seong Sik KANG
The Korean Journal of Thoracic and Cardiovascular Surgery 2009;42(5):677-683
May-Thurner syndrome is a deep vein thrombosis of the ilio-femoral vein due to compression of the left common iliac vein by the overlying right common iliac artery. Although, catheter directed thrombectomy (CDT) and thrombolysis with stent insertion has become the standard treatment method for acute or subacute May-Thurner syndrome, because of technical feasibility and lower recurrence rate, however, sometimes this methods make fatal complications. Furthermore, there are few reports on optimal treatment strategies for patients in a chronic state of May-Thurner syndrome,. We now present two cases of chronic (>1 month since onset of symptoms) May-Thurner syndrome treated by surgical thrombectomy and femoral arteriovenous shunt with simultaneous stent insertion after failed endovascular treatment. This technique may provide a significant benefit for patients who are not suitable for conventional endovascular treatment.
Catheters
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Humans
;
Iliac Artery
;
Iliac Vein
;
May-Thurner Syndrome
;
Recurrence
;
Stents
;
Thrombectomy
;
Thrombosis
;
Veins
;
Venous Thrombosis
3.Deep Vein Thrombosis Associated with May-Thurner Syndrome in an Amyotrophic Lateral Sclerosis Patient: A Case Report.
Dong Kyu KIM ; Jung Hoi KOO ; Sun Hong SONG ; Jong Hyeog LEE
Annals of Rehabilitation Medicine 2011;35(3):441-444
There have been a few reports on deep vein thrombosis (DVT) associated with compression of the left common iliac vein by the right common iliac artery, referred to as May-Thurner syndrome (MTS). However, there have been no reports on DVT associated with MTS in amyotrophic lateral sclerosis (ALS) patients exhibiting similar clinical features to paraplegic spinal cord injury patients. We hereby report a case of DVT associated with MTS in an ALS patient, who was treated successfully.
Amyotrophic Lateral Sclerosis
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Humans
;
Iliac Artery
;
Iliac Vein
;
May-Thurner Syndrome
;
Spinal Cord Injuries
;
Venous Thrombosis
5.Perioperative Management for the Patient with May-Thurner Syndrome: A Case Report.
Soo Kyung LEE ; Eun Joo CHOI ; Kun Il KIM ; Young Mi KIM ; Hyun CHOI ; Hyun Soo MOON
The Korean Journal of Critical Care Medicine 2008;23(2):115-119
May-Thurner syndrome is an anatomic variant in which the left common iliac vein is compressed by the right common iliac artery. The most frequent clinical presentation is deep vein thrombosis of the left lower extremity. We report the perioperative management in a patient with May-Thurner syndrome undergoing an open reduction of a tibia fracture. The patient developed deep vein thrombosis of the left lower extremity and had an endovascular stent placed approximately 1 year earlier. An important aspect of the perioperative management in a patient with May-Thurner syndrome is to prevent deep vein thrombosis. We monitored the activated clotting time during the intraoperative period.
Humans
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Iliac Artery
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Iliac Vein
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Lower Extremity
;
May-Thurner Syndrome
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Stents
;
Tibia
;
Venous Thrombosis
8.Hybrid operation for acute left leg deep venous thrombosis secondary to left iliac vein compression syndrome: analysis of 36 cases.
Zhong-Xin ZHOU ; Fang-Yong FU ; Zhi-Qi LIN ; Chun-Qiu PAN
Journal of Southern Medical University 2015;35(1):131-134
OBJECTIVETo evaluate the surgical techniques for acute left deep venous thrombosis (LDVT) secondary to left iliac vein compression syndrome (IVCS).
METHODSThirty-six patients with acute LDVT secondary to IVCS received inferior vena cava filter placement, and in 2 of the cases, stent implantation was canceled for acute episode of obsolete DVT. The remaining 34 patients underwent left femoral venotomy for iliofemoral thrombectomy with Fogarty catheter and distal femoral vein thrombus removal by sequential compression of the legs, followed by implantation of stent-graft (2 cases) or bare-metal stents (32 cases) in the left common iliac veins. With routine anticoagulation and thrombolytic treatments, the patients were regularly examined for postoperative blood flow in the affected limb.
RESULTSIn 2 of the cases undergoing bare-metal stent implantation, the residue thrombi were squeezed into the stent by balloon, which was managed subsequently with local thrombolysis. One patient with bare-metal stent implantation received a secondary stenting for posterior stent displacement. Three patients had self-limited bleeding due to decreased serum FBG. Significant improvements were achieved at 3, 6, 30 and 180 days postoperatively in the circumferences of the affected limb (P<0.05) and in the levels of D-dimer (P=0.011), and FBG level showed no significant variations (F=1.163, P=0.345). The total rate of excellent outcomes was 83.3% (26/34) with a total effective rate of 91.2% (31/34) in these cases.
CONCLUSIONSThrombectomy to revascularize the inflow tract and stent implantation to enlarge stenosed iliac veins are key issues in treatment of acute LDVT secondary to IVCS.
Femoral Vein ; surgery ; Humans ; Leg ; pathology ; May-Thurner Syndrome ; complications ; surgery ; Stents ; Thrombectomy ; Vascular Grafting ; Venous Thrombosis ; etiology ; surgery
9.Deep Vein Thrombosis in May-Thurner Syndrome Patient after Operative Treatment of Acute Cauda Equina Syndrome: A Case Report.
Jeong Hyun YOO ; Hyung Soo KIM ; Soo Tai CHUNG ; Jai Hyung PARK ; Joo Hak KIM ; Seung Do CHA ; Kwang Gyu JUNG ; Sang Joon PARK
Journal of Korean Society of Spine Surgery 2007;14(2):110-114
May-Thurner syndrome, compression of the left common iliac vein by the right common iliac artery, or intimal hypertrophy of the vein resulting from chronic pulsatile force of the right common iliac artery, may results in deep vein thrombosis on the left lower extremity. A patient presented to our facility with deep vein thrombosis caused by May-Thurner syndrome, and showed post-operative fever, pain, and tenderness over the left leg, showing severe lumbar disc herniation with acute cauda equina syndrome. This syndrome should be considered as one of the causes of deep vein thrombosis in the left lower extremity.
Cauda Equina*
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Fever
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Humans
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Hypertrophy
;
Iliac Artery
;
Iliac Vein
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Leg
;
Lower Extremity
;
May-Thurner Syndrome*
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Polyradiculopathy*
;
Veins
;
Venous Thrombosis*
10.May-Thurner Syndrome Treated with Endovascular Wall Stent.
You Sang YOON ; Je Hwan WON ; Ho CHOI ; Dong Mun SOH ; Cheol Joo LEE ; Hyung Tae KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2003;36(3):202-205
Deep vein thrombosis (DVT) is a common disease. However, May-Thurner syndrome, which is the cause of DVT, is an uncommon processes in which there is an impaired venous return due to compression of the left iliac vein by the overlying right common artery. This condition results in a left iliofemoral deep thrombosis and severe leg edema. It is, therefore, called iliac compression syndrome. Catheter-directed thrombolytic therapy of acute extensive iliofemoral DVT and balloon angioplasty with venous stenting are recommended. Two cases with history of left leg swelling are diagnosed as May-Thurner syndrome, which was demonstrated by venography. We successfully treated the patients with thrombolysis, balloon angioplasty, and stent insertion at the site of common iliac vein compression. Therefore, we report the cases with overall review of the literature.
Angioplasty, Balloon
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Arteries
;
Edema
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Humans
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Iliac Vein
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Leg
;
May-Thurner Syndrome*
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Phlebography
;
Stents*
;
Thrombolytic Therapy
;
Thrombosis
;
Venous Thrombosis