Prospective Evaluation of Endoluminal Venous Stents in the Treatment of the May–Thurner Syndrome

Lamont, Jeffrey P.; Pearl, Gregory J.; Patetsios, Peter; Warner, Marc T.; Gable, Dennis; Garrett, Wilson V.; Grimsley, Bradley R.; Smith, Bertram L.; Shutze, William P.

doi:10.1007/s10016-001-0143-3

Cited by 84 publications

(54 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Por ser um procedimento relativamente novo, ainda faz-se necessário um maior seguimento dos pacientes e maiores estudos relacionados ao uso da técnica endovascular para o segmento venoso. Porém, a evolução do caso exposto, bem como a revisão da literatura, apontam para uma utilização crescente desta técnica 1,2,3,[7][8][9]11,13,20,22,23 .…”

Section: Conclusãounclassified

“…Recentemente, com o advento da cirurgia endovascular, uma nova estratégia terapêu-tica menos invasiva e com bons resultados foi instituída: a angioplastia com balão e colocação de stent 1,12,13 . Este artigo tem a finalidade de relatar o caso de uma paciente com diagnóstico de Síndrome de May-Thurner, tratada com sucesso por angioplastia venosa por balão e colocação de stent.…”

Section: Introductionunclassified

See 1 more Smart Citation

Tratamento endovascular da síndrome de compressão da veia ilíaca (May-Thurner): relato de caso

Júnior

Neves

Fontes³

et al. 2011

J. vasc. bras.

View full text Add to dashboard Cite

IntroduçãoA síndrome de compressão da veia ilíaca, também conhecida como Síndrome de May-Thurner, é uma doença pouco comum causada pela compressão da veia ilíaca esquerda pela artéria ilíaca direita, proporcionando uma sé-rie de sintomas dependendo do grau de compressão, entre eles: edema assimétrico de membro inferior esquerdo, dor, surgimento de varizes e trombose venosa [1][2][3] . Esta síndrome foi descrita pela primeira vez em 1956, por May e Thurner, a partir do estudo de cadáveres, como variações anatômicas da veia ilíaca esquerda proporcionando uma interrupção do fluxo venoso 4,5,[7][8][9] . Lesões vasculares fibrosas chamadas de spurs foram encontradas no nível em que a artéria ilía-ca direita comprimia a veia ilíaca esquerda contra a quinta vértebra lombar 5,10 . Em 1965, Cockett e Thomas relataram ResumoA Síndrome de May-Thurner é uma causa pouco comum de sinais e sintomas venosos relacionados ao membro inferior esquerdo. Esta síndrome é caracterizada pela compressão da veia ilíaca comum esquerda pela artéria ilíaca comum direita e, quando tal alteração anatômica causa sintomas que venham a prejudicar a qualidade de vida do paciente, existe a indicação de tratamento cirúrgico ou endovascular para correção desta alteração anatômica. Este artigo é o relato de um caso, no qual optou-se pelo tratamento endovascular com resultado satisfatório e as indicações, as nuances e os resultados esperados para esta técnica no tratamento da Síndrome de May-Thurner são discutidos. Foi concluído que, nesta síndrome, há eficácia do tratamento endovascular com melhora dos sintomas pela recanalização do sistema venoso, sem grandes riscos inerentes ao procedimento e com curto período de internação hospitalar.Palavras-chave: veia ilíaca; artéria ilíaca; varizes; edema; flebografia AbstractMay-Thurner Syndrome is an uncommon cause of venous symptoms and signs related to the left lower limb. It is characterized by compression of the left common iliac vein by the right common iliac artery and, when such anatomical change causes symptoms that may impair the patients' quality of life, surgical treatment is indicated. This article addresses a case of May-Thurner syndrome in which we opted for endovascular treatment with satisfactory outcome, as well as a discussion about indications, nuances, and expected results. We concluded that endovascular treatment is effective in treating this syndrome, for it resolves the symptoms by recanalization of the venous system with little risks during the procedure and with short hospital stay.

show abstract

Section: Conclusãounclassified

Section: Introductionunclassified

Tratamento endovascular da síndrome de compressão da veia ilíaca (May-Thurner): relato de caso

Júnior

Neves

Fontes³

et al. 2011

J. vasc. bras.

View full text Add to dashboard Cite

show abstract

“…Once identified, these lesions can usually be treated with percutaneous venoplasty and stenting. 56,[71][72][73] Although objective data are lacking, patency rates for metallic stents placed in the venous circulation appear high but long-term postintervention anticoagulation seems reasonable.…”

Section: Adjuvant Venous Angioplasty and Stentingmentioning

confidence: 99%

Invasive Approaches to Treatment of Venous Thromboembolism

Augustinos

Ouriel

2004

Circulation

View full text Add to dashboard Cite

Abstract-Deep vein thrombosis (DVT) occurs in one-quarter of a million individuals annually in the United States and results in significant disability from pulmonary embolism and chronic venous insufficiency, especially when the proximal iliofemoral is involved. Treatment has centered on early institution of adequate anticoagulation to prevent thrombus propagation and embolism, but anticoagulation alone does not always restore venous patency and many patients are left with venous outflow obstruction and valvular incompetence-the anatomic underpinnings of the postthrombotic syndrome. Various strategies have been used to restore patency of thrombosed veins, including open surgical thrombectomy, pharmacological thrombolysis, and percutaneous mechanical thrombectomy. Each modality has benefits and shortcomings. Surgical thrombectomy had previously been abandoned secondary to poor long-term results.More recently, with improved techniques and better patient selection, surgical thrombectomy has regained a therapeutic role in treating acute DVT in young patients with short segment occlusions. The advent of percutaneous techniques has allowed thrombolysis, percutaneous mechanical thrombectomy, and stenting to be used in conjunction with each other-allowing for better resolution of venous clot burden than when an individual modality is used alone. Practitioners who treat patients with DVT should be familiar with all the options available to restore venous patency, preserve valvular function, and thereby minimize the risk of late postthrombotic complications.

show abstract

“…Several surgical decompression techniques have been described, including saphenous vein bypass, placement of the right CIA into a peritoneal sling, reimplantation of the left CIV onto the vena cava, venotomy with excision of intraluminal adhesions, and vein patch venoplasty (48). Surgical treatment has an overall success rate, defined as patency of the left CIV or venous bypass, of 40-88% (49).…”

mentioning

confidence: 99%

“…Early thrombolytic therapy, whether achieved through pharmacologic or mechanical methods, is thought to play a major role in preserving valve function and preventing postthrombotic syndrome (49,52). Pharmacologic thrombolysis is performed by direct infusion of TPA into the thrombosed vein 12 to 48 hours (45,48,53). Some authors prefer primary treatment with mechanical thrombectomy or pulsed infusion of TPA prior to stenting, followed by an additional 12 to 48 hours of catheter-directed thrombolysis (45,54).…”

mentioning

confidence: 99%

Minimally invasive treatments for venous compression syndromes

Hulsberg

McLoney

Partovi

et al. 2016

Cardiovasc. Diagn. Ther.

View full text Add to dashboard Cite

The management of venous compression syndromes has historically been reliant on surgical treatment when conservative measures fail. There are, however, several settings in which endovascular therapy can play a significant role as an adjunct or even a replacement to more invasive surgical methods.We explore the role of minimally invasive treatment options for three of the most well-studied venous compression syndromes. The clinical aspects and pathophysiology of Paget-Schroetter syndrome (PSS), nutcracker syndrome, and May-Thurner syndrome are discussed in detail, with particular emphasis on the role that interventionalists can play in minimally invasive treatment.

show abstract

Prospective Evaluation of Endoluminal Venous Stents in the Treatment of the May–Thurner Syndrome

Cited by 84 publications

References 15 publications

Tratamento endovascular da síndrome de compressão da veia ilíaca (May-Thurner): relato de caso

Tratamento endovascular da síndrome de compressão da veia ilíaca (May-Thurner): relato de caso

Invasive Approaches to Treatment of Venous Thromboembolism

Minimally invasive treatments for venous compression syndromes

Contact Info

Product

Resources

About