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C-1389 - May-Thurner Syndrome: an underestimated syndrome

V. Di Caro1, J. RABELLINO1, R. D. García-Mónaco1, M. Ulla2, O. A. PERALTA3; 1 Buenos Aires/AR 2 Pilar- Buenos Aires/AR 3 BUENOS AIRES/AR Type: Educational Exhibit
Area of Interests: Interventional vascular, Vascular, Veins / Vena cava
Imaging Techniques: MR-Angiography, Catheter venography, CT-Angiography
Procedures: Angioplasty, Stents
Special Focuses: Embolism / Thrombosis, Varices
Please note: This poster is part of the session VoE 49 - Latin America (Spanish) on Friday, March 3, 13:00 - 14:00 Add poster to my schedule In your schedule (remove)

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Learning objectives: To present the computed tomography (CT) findings and the endovascular treatment outcomes.

Background: In 1957, May and Thurner described three varieties of intra-luminal spurs occurring in the left common iliac vein close to its juntion with the inferior vena cava (IVC). The incidence of May-Thurner syndrome (MTS) is unknown and ranges from 18%-49% among patients with left-sided lower extremity deep[...]

Findings and procedure details: MTS is the result of compression of the left common iliac vein beween the right common iliac artery and the overlying spine, with subsequent development of DVT in the left lower extremity1. The overall prevalence of symptomatic MTS ranges from 18% to 49% among patients with left-sided lower extremit[...]

Conclusion: It is important to recognize that persistent edema of the left leg may be caused by May-Thurner syndrome, especially in young women. This diagnosis is confirmimed with iliac venography, which demostrates the iliac vein compression. Endovascular management should be the primary treatment. With early [...]

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References: 96 Normal 0 21 false false false ES-AR JA X-NONE Shebel ND, Whalen CC. Diagnosis and management of iliac vein compression syndrome. J Vasc Nurs 2005;23:10–17. OguzkurtL,OzkanU,TercanF,KoçZ. Ultrasonographic diagnosis of iliac vein compression (May–Thurner) syndrome. Diagn Interv Radiol 2007;13:152–[...]

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