Histological Study on the Left Common Iliac Vein Spur

Abstract

The spur occasionally seen in a left common iliac vein was investigated by anatomical and histological examination of cadavers so the occurrence mechanism could be discussed. Spurs were found in six cases of the 28 cadavers (21.4%) and they were classified into few different kinds of composition of endosporia, tunica media and adventitia. It is considered that there may be different formation mechanisms and stages even in cases of similar anatomical finding. (English translation of J Jpn Coll Angiol 2013; 53: 43-47).

Vascular conflicts in andrology. Part 2. Lower level arteryovenous conflicts

“…Jeon et al (2010) предложили классификацию морфологических изменений левой общей подвздошной вены при синдроме Мея -Тюрнера: тип I -фокальная компрессия правой обшей подвздошной артерией, тип II -диффузная атрофия левой общей подвздошной вены, тип III -рубцовая облитерация левой общей подвздошной вены [11]. H. Mitsuoka et al (2013) при аутопсии 28 трупов (12 мужчин и 16 женщин), средний возраст -82,5 года, установили два варианта аномалий аорты по месту пересечения (перекрестка) правой общей подвздошной артерии: группа A -полное или частичное сдавление правой общей подвздошной артерией левой общей подвздошной вены (бифуркация аорты на нижнем уровне) у 19 (67,9 %) из 28 трупов; группа B -правая общая подвздошная артерия сдавливает нижнюю полую вену (бифуркация аорты на высоком уровне) у 9 (32 %) [12]. R. Englund (2017) обследовал и пролечил 61 пациента с компрессией левой общей подвздошной вены и по результатам флебографии предложил свою классификацию, представленную в табл.…”

The Myth of May Thurner

“…However, the exact cause of these spurs remains uncertain and may not only purely be attributed to the effects of arterial compression. [13] Cockett and Thomas were pioneers in the sense that during surgery they distinguished between an acute phase with an occlusion on the basis of deep venous thrombosis without evident fibrosis and a chronic phase nowadays described as post thrombotic syndrome. In their cohort, chronic patients would have fibrous scarification [14].…”

Relationship between Specific Distributions of Isolated Soleal Vein Thrombosis and Risk Factors

“…6) For the left leg, involvement of left iliac vein compression is considered as an uneven factor. 17,18) Additional general factors and uneven factors are considered to be involved complementarily to local factors and promote recurrence. 6,11) Varicose vein and gait disturbance are judged as recurrence factors associated with crural muscle pump dysfunction.…”