What the Young Physician Should Know About May-Thurner Syndrome
- PMID: 26535184
What the Young Physician Should Know About May-Thurner Syndrome
Erratum in
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Errata Corrige: "What the Young Physician Should know About May-Thurner Syndrome" Transl Med Unisa. 2014 Sep 1;12:19-28.Transl Med UniSa. 2016 Jan 31;13:65. eCollection 2015 Dec. Transl Med UniSa. 2016. PMID: 27042435 Free PMC article.
Abstract
May-Thurner syndrome (MTS) is an anatomically variable condition resulting in compression of the left common iliac vein between the right common iliac artery and the underlying spine with subsequent development of a left deep vein thrombosis (DVT). Although this syndrome is rare, its true prevalence is likely underestimated. Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome. Correct treatment is not well established and is based on clinical presentation. Staged thrombolysis with/without prophylactic retrievable inferior vena cava filter placement followed by angioplasty/stenting of the left iliac vein appears to be the best option in MTS patients with extensive DVT. The aim of this review is to present in a simple and didactic form all variable clinical presentations of MTS and to outline possible management within the current guidelines.
Keywords: DVT; May-Thurner Syndrome; endovascular treatment; medical education; thrombectomy.