Atypical iliac vein compression in patients with symptomatic May–Thurner syndrome
PURPOSEWe aimed to investigate the incidence, etiology, treatment, and clinical course of atypical iliac vein compressions (AIVCs) among patients with May–Thurner syndrome (MTS).METHODSA total of 173 patients who presented with MTS were retrospectively analyzed at a single center. Computed tomograph...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2021-05-01
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| Series: | Diagnostic and Interventional Radiology |
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http://www.dirjournal.org/archives/archive-detail/article-preview/atypical-iliac-vein-compression-in-patients-with-s/54344
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| _version_ | 1797691327082659840 |
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| author | Ju Yong Park Keun-Myoung Park Soon Gu Cho Kee Chun Hong Yong Sun Jeon |
| author_facet | Ju Yong Park Keun-Myoung Park Soon Gu Cho Kee Chun Hong Yong Sun Jeon |
| author_sort | Ju Yong Park |
| collection | DOAJ |
| description | PURPOSEWe aimed to investigate the incidence, etiology, treatment, and clinical course of atypical iliac vein compressions (AIVCs) among patients with May–Thurner syndrome (MTS).METHODSA total of 173 patients who presented with MTS were retrospectively analyzed at a single center. Computed tomographic venography (CTV) was used to diagnose MTS. An AIVC was defined as the compression of the left common iliac vein (LCIV) by structures other than the right common iliac artery (RCIA) or the compression of other venous structures in the pelvic cavity instead of the LCIV. The patients with AIVC were categorized into the LCIV compression group (category A) and non-LCIV compression group (category B).RESULTSTen patients with AIVC were identified (5.8%; male/female, 5/5), five in category A and five in category B. The median age of patients was 76 years (range, 51–94 years), and the median follow-up duration was 388 days (range, 12–4694 days). In category A, the LCIVs were compressed by the left common iliac artery (LCIA) (n=2), uterine leiomyoma (n=1), LCIA aneurysm (n=1), and RCIA aneurysm (n=1). In category B, the right common iliac veins were compressed by the RCIA (n=4) and L5 osteophyte (n=1). Endovascular treatment, including balloon angioplasty and stent placement, was performed in six patients, three from each group. Three patients underwent conservative treatment due to their advanced age and comorbidities. Endovascular aneurysm repair was performed in one patient with RCIA aneurysm. Follow-up images were available for six patients, and all of them had patent venous flow.CONCLUSIONThe AIVC had an incidence of 5.8% (10/173) among symptomatic MTS patients and wide spectrum of etiologies. Pathogenesis-tailored endovascular treatments are safe and effective. |
| first_indexed | 2024-03-12T02:11:47Z |
| format | Article |
| id | doaj.art-0140519e74f747288d90256917e6d74b |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:11:47Z |
| publishDate | 2021-05-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-0140519e74f747288d90256917e6d74b2023-09-06T12:21:06ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122021-05-0127337237710.5152/dir.2021.2018313049054Atypical iliac vein compression in patients with symptomatic May–Thurner syndromeJu Yong Park0Keun-Myoung Park1Soon Gu Cho2Kee Chun Hong3Yong Sun Jeon4 Department of Radiology, Inha University Hospital, Inha University College of Medicine, Jung-gu, Incheon, Korea Department of Surgery, Inha University Hospital, Inha University College of Medicine, Incheon, Korea Department of Radiology, Inha University Hospital, Inha University College of Medicine, Jung-gu, Incheon, Korea Department of Surgery, Inha University Hospital, Inha University College of Medicine, Incheon, Korea Department of Radiology, Inha University Hospital, Inha University College of Medicine, Jung-gu, Incheon, Korea PURPOSEWe aimed to investigate the incidence, etiology, treatment, and clinical course of atypical iliac vein compressions (AIVCs) among patients with May–Thurner syndrome (MTS).METHODSA total of 173 patients who presented with MTS were retrospectively analyzed at a single center. Computed tomographic venography (CTV) was used to diagnose MTS. An AIVC was defined as the compression of the left common iliac vein (LCIV) by structures other than the right common iliac artery (RCIA) or the compression of other venous structures in the pelvic cavity instead of the LCIV. The patients with AIVC were categorized into the LCIV compression group (category A) and non-LCIV compression group (category B).RESULTSTen patients with AIVC were identified (5.8%; male/female, 5/5), five in category A and five in category B. The median age of patients was 76 years (range, 51–94 years), and the median follow-up duration was 388 days (range, 12–4694 days). In category A, the LCIVs were compressed by the left common iliac artery (LCIA) (n=2), uterine leiomyoma (n=1), LCIA aneurysm (n=1), and RCIA aneurysm (n=1). In category B, the right common iliac veins were compressed by the RCIA (n=4) and L5 osteophyte (n=1). Endovascular treatment, including balloon angioplasty and stent placement, was performed in six patients, three from each group. Three patients underwent conservative treatment due to their advanced age and comorbidities. Endovascular aneurysm repair was performed in one patient with RCIA aneurysm. Follow-up images were available for six patients, and all of them had patent venous flow.CONCLUSIONThe AIVC had an incidence of 5.8% (10/173) among symptomatic MTS patients and wide spectrum of etiologies. Pathogenesis-tailored endovascular treatments are safe and effective. http://www.dirjournal.org/archives/archive-detail/article-preview/atypical-iliac-vein-compression-in-patients-with-s/54344 |
| spellingShingle | Ju Yong Park Keun-Myoung Park Soon Gu Cho Kee Chun Hong Yong Sun Jeon Atypical iliac vein compression in patients with symptomatic May–Thurner syndrome Diagnostic and Interventional Radiology |
| title | Atypical iliac vein compression in patients with symptomatic May–Thurner syndrome |
| title_full | Atypical iliac vein compression in patients with symptomatic May–Thurner syndrome |
| title_fullStr | Atypical iliac vein compression in patients with symptomatic May–Thurner syndrome |
| title_full_unstemmed | Atypical iliac vein compression in patients with symptomatic May–Thurner syndrome |
| title_short | Atypical iliac vein compression in patients with symptomatic May–Thurner syndrome |
| title_sort | atypical iliac vein compression in patients with symptomatic may thurner syndrome |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/atypical-iliac-vein-compression-in-patients-with-s/54344
|
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