AI Article Synopsis
- May-Thurner syndrome (MTS) is a condition where the left common iliac vein is compressed, leading to potential complications like deep vein thrombosis (DVT).
- Symptoms can include pain, swelling, skin changes, and a risk of ulcers, indicating that the syndrome may be more common than currently recognized.
- Treatment options are not standardized and often include thrombolysis and the use of filters, with a focus on individualized management based on specific clinical presentations.
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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592040 | PMC |
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