Postthrombotic Syndrome Complicating a Case of May-Thurner Syndrome Despite Endovascular Therapy

The therapeutic approach of the May-Thurner Syndrome without Deep Venous Thrombosis: a systematic review

“…[14] The data also suggests that endovascular treatment for IVCS, with or without DVT, is safe and effective, although it is still not certain what the best treatment is. [1] Further clinical trials are required to define the optimal treatment strategy [8], especially in the MayThurner Syndrome cases in the absence of DVT.…”

“…Many surgical procedures for the relief of obstruction have been described. [8] Recent imaging data indicate that compression of the LCIV (Left Commom Iliac Vein) at the arterial crossover point may be present in 66% of the general population without any venous symptoms [9] and without correction of this compression, patients are at high risk to develop a recurrent deep vein thrombosis and post-thrombotic syndrome.…”

“…Therefore, endovascular treatment appears to be superior to conventional surgical treatment and should be the first line of therapy for many patients suffering from IVCS. [8] An endovascular mechanical thrombectomy, combined with guiding catheter suction, can substitute most of the surgical embolectomy. [1] In addition, it appears that balloon venoplasty and stenting of the iliac vein in chronically obstructed limbs is a safe, minimally invasive method with a minimal complication rate, no mortality, and an acceptable 1-year patency rate.…”

“…[1] In addition, it appears that balloon venoplasty and stenting of the iliac vein in chronically obstructed limbs is a safe, minimally invasive method with a minimal complication rate, no mortality, and an acceptable 1-year patency rate. [8] Overall, balloon angioplasty and stenting is safe and effective, and the complication rate is likely to decrease as technology evolves and experience increases. [8] Multiple advanced endovascular have been developed in recent years for chronic arterial occlusions using techniques such as blunt micro dissection, radiofrequency energy and laser.…”

“…[8] Overall, balloon angioplasty and stenting is safe and effective, and the complication rate is likely to decrease as technology evolves and experience increases. [8] Multiple advanced endovascular have been developed in recent years for chronic arterial occlusions using techniques such as blunt micro dissection, radiofrequency energy and laser. [11] In this context, is important to mention that there are only few absolute contraindications for iliocaval stenting including uncorrectable coagulopathy and local or systemic infection.…”