Atypical May-Thurner Syndrome Caused by Large Lumbar Osteophyte

An 82-year-old man presented to the emergency department with intermittent left lower extremity swelling for the last 4 to 5 months that limited his daily activities. The patient had a negative lower extremity venous duplex 3 months prior and had been treating symptoms with compression stockings but...

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Main Authors: Nicholas Schaper, Keith Pereira
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc.
Series:Journal of Clinical Interventional Radiology ISVIR
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1779256
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author Nicholas Schaper
Keith Pereira
author_facet Nicholas Schaper
Keith Pereira
author_sort Nicholas Schaper
collection DOAJ
description An 82-year-old man presented to the emergency department with intermittent left lower extremity swelling for the last 4 to 5 months that limited his daily activities. The patient had a negative lower extremity venous duplex 3 months prior and had been treating symptoms with compression stockings but experienced no improvement. Venography showed venous outflow obstruction in his left common iliac vein and the etiology was confirmed to be a lumbar vertebral osteophyte compressing the vein. The patient underwent endovascular treatment with balloon venoplasty and stent placement over the lesion with return of adequate outflow. This report describes treatment of symptomatic left common iliac venous compression with endovascular therapy alone.
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spelling doaj.art-c8b5ed994d7e4225be39d27ff7cec54c2024-02-17T00:33:13ZengThieme Medical Publishers, Inc.Journal of Clinical Interventional Radiology ISVIR2456-486910.1055/s-0044-1779256Atypical May-Thurner Syndrome Caused by Large Lumbar OsteophyteNicholas Schaper0Keith Pereira1Saint Louis University School of Medicine, St. Louis, Missouri, United StatesDivision of Vascular and Interventional Radiology, Saint Louis University, St. Louis, Missouri, United StatesAn 82-year-old man presented to the emergency department with intermittent left lower extremity swelling for the last 4 to 5 months that limited his daily activities. The patient had a negative lower extremity venous duplex 3 months prior and had been treating symptoms with compression stockings but experienced no improvement. Venography showed venous outflow obstruction in his left common iliac vein and the etiology was confirmed to be a lumbar vertebral osteophyte compressing the vein. The patient underwent endovascular treatment with balloon venoplasty and stent placement over the lesion with return of adequate outflow. This report describes treatment of symptomatic left common iliac venous compression with endovascular therapy alone.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1779256May-Thurnerendovascular treatmentosteophyte
spellingShingle Nicholas Schaper
Keith Pereira
Atypical May-Thurner Syndrome Caused by Large Lumbar Osteophyte
Journal of Clinical Interventional Radiology ISVIR
May-Thurner
endovascular treatment
osteophyte
title Atypical May-Thurner Syndrome Caused by Large Lumbar Osteophyte
title_full Atypical May-Thurner Syndrome Caused by Large Lumbar Osteophyte
title_fullStr Atypical May-Thurner Syndrome Caused by Large Lumbar Osteophyte
title_full_unstemmed Atypical May-Thurner Syndrome Caused by Large Lumbar Osteophyte
title_short Atypical May-Thurner Syndrome Caused by Large Lumbar Osteophyte
title_sort atypical may thurner syndrome caused by large lumbar osteophyte
topic May-Thurner
endovascular treatment
osteophyte
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1779256
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