May-Thurner: Diagnosis and endovascular management

Grace Knuttinen, Sailendra Naidu, Rahmi Oklu, Scott Kriegshauser, William Eversman, Lisa Rotellini, Patricia E. Thorpe

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Common left iliac vein compression, otherwise known as May-Thurner (MT), is an anatomical risk factor for lower extremity deep vein thrombosis (DVT). MT refers to chronic compression of the left iliac vein against the lumbar spine by the overlying right common iliac artery. The compression may be asymptomatic. The syndrome is a clinical spectrum of physical findings and history plus the lesion. It is characterized by the varying degrees of venous hypertension. This can be non-thrombotic, combined with acute DVT or post-thrombotic. Traditionally, acute DVT was treated with standard anticoagulation and sometimes, thrombectomy. However these measures do not address the underlying culprit lesion of mechanical compression. Furthermore, if managed only with anticoagulation, patients with residual thrombus are at risk for developing recurrent DVT or post-thrombotic syndrome (PTS). Both retrospective and prospective studies have shown that endovascular management should be the preferred approach to dissolve proximal thrombus and to also treat the underlying compression with endovascular stent placement.

Original languageEnglish (US)
Pages (from-to)S159-S164
JournalCardiovascular Diagnosis and Therapy
Volume7
DOIs
StatePublished - Dec 1 2017

Fingerprint

Venous Thrombosis
Iliac Vein
Thrombosis
Thrombectomy
Iliac Artery
Stents
Lower Extremity
Spine
Retrospective Studies
History
Prospective Studies
Hypertension

Keywords

  • Deep vein thrombosis (DVT)
  • May-Thurner (MT)
  • Stent

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

May-Thurner : Diagnosis and endovascular management. / Knuttinen, Grace; Naidu, Sailendra; Oklu, Rahmi; Kriegshauser, Scott; Eversman, William; Rotellini, Lisa; Thorpe, Patricia E.

In: Cardiovascular Diagnosis and Therapy, Vol. 7, 01.12.2017, p. S159-S164.

Research output: Contribution to journalReview article

Knuttinen, Grace ; Naidu, Sailendra ; Oklu, Rahmi ; Kriegshauser, Scott ; Eversman, William ; Rotellini, Lisa ; Thorpe, Patricia E. / May-Thurner : Diagnosis and endovascular management. In: Cardiovascular Diagnosis and Therapy. 2017 ; Vol. 7. pp. S159-S164.
@article{f265c9011a07473b8970519d2d4aca8f,
title = "May-Thurner: Diagnosis and endovascular management",
abstract = "Common left iliac vein compression, otherwise known as May-Thurner (MT), is an anatomical risk factor for lower extremity deep vein thrombosis (DVT). MT refers to chronic compression of the left iliac vein against the lumbar spine by the overlying right common iliac artery. The compression may be asymptomatic. The syndrome is a clinical spectrum of physical findings and history plus the lesion. It is characterized by the varying degrees of venous hypertension. This can be non-thrombotic, combined with acute DVT or post-thrombotic. Traditionally, acute DVT was treated with standard anticoagulation and sometimes, thrombectomy. However these measures do not address the underlying culprit lesion of mechanical compression. Furthermore, if managed only with anticoagulation, patients with residual thrombus are at risk for developing recurrent DVT or post-thrombotic syndrome (PTS). Both retrospective and prospective studies have shown that endovascular management should be the preferred approach to dissolve proximal thrombus and to also treat the underlying compression with endovascular stent placement.",
keywords = "Deep vein thrombosis (DVT), May-Thurner (MT), Stent",
author = "Grace Knuttinen and Sailendra Naidu and Rahmi Oklu and Scott Kriegshauser and William Eversman and Lisa Rotellini and Thorpe, {Patricia E.}",
year = "2017",
month = "12",
day = "1",
doi = "10.21037/cdt.2017.10.14",
language = "English (US)",
volume = "7",
pages = "S159--S164",
journal = "Cardiovascular Diagnosis and Therapy",
issn = "2223-3652",
publisher = "AME Publishing Company",

}

TY - JOUR

T1 - May-Thurner

T2 - Diagnosis and endovascular management

AU - Knuttinen, Grace

AU - Naidu, Sailendra

AU - Oklu, Rahmi

AU - Kriegshauser, Scott

AU - Eversman, William

AU - Rotellini, Lisa

AU - Thorpe, Patricia E.

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Common left iliac vein compression, otherwise known as May-Thurner (MT), is an anatomical risk factor for lower extremity deep vein thrombosis (DVT). MT refers to chronic compression of the left iliac vein against the lumbar spine by the overlying right common iliac artery. The compression may be asymptomatic. The syndrome is a clinical spectrum of physical findings and history plus the lesion. It is characterized by the varying degrees of venous hypertension. This can be non-thrombotic, combined with acute DVT or post-thrombotic. Traditionally, acute DVT was treated with standard anticoagulation and sometimes, thrombectomy. However these measures do not address the underlying culprit lesion of mechanical compression. Furthermore, if managed only with anticoagulation, patients with residual thrombus are at risk for developing recurrent DVT or post-thrombotic syndrome (PTS). Both retrospective and prospective studies have shown that endovascular management should be the preferred approach to dissolve proximal thrombus and to also treat the underlying compression with endovascular stent placement.

AB - Common left iliac vein compression, otherwise known as May-Thurner (MT), is an anatomical risk factor for lower extremity deep vein thrombosis (DVT). MT refers to chronic compression of the left iliac vein against the lumbar spine by the overlying right common iliac artery. The compression may be asymptomatic. The syndrome is a clinical spectrum of physical findings and history plus the lesion. It is characterized by the varying degrees of venous hypertension. This can be non-thrombotic, combined with acute DVT or post-thrombotic. Traditionally, acute DVT was treated with standard anticoagulation and sometimes, thrombectomy. However these measures do not address the underlying culprit lesion of mechanical compression. Furthermore, if managed only with anticoagulation, patients with residual thrombus are at risk for developing recurrent DVT or post-thrombotic syndrome (PTS). Both retrospective and prospective studies have shown that endovascular management should be the preferred approach to dissolve proximal thrombus and to also treat the underlying compression with endovascular stent placement.

KW - Deep vein thrombosis (DVT)

KW - May-Thurner (MT)

KW - Stent

UR - http://www.scopus.com/inward/record.url?scp=85038622712&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85038622712&partnerID=8YFLogxK

U2 - 10.21037/cdt.2017.10.14

DO - 10.21037/cdt.2017.10.14

M3 - Review article

AN - SCOPUS:85038622712

VL - 7

SP - S159-S164

JO - Cardiovascular Diagnosis and Therapy

JF - Cardiovascular Diagnosis and Therapy

SN - 2223-3652

ER -