Advertisement

Nonthrombotic Iliac Vein Lesion (May-Thurner Syndrome)

  • Riju Ramachandran Menon
Chapter

Abstract

Symptomatic nonthrombotic iliac vein lesion resulting from external compression of the left common iliac vein usually by the right common iliac artery is known as May-Thurner syndrome. It is considered as a permissive lesion, requiring the superimposition of a second pathology for manifestations of symptoms. Initially it was considered to be a risk factor for the development of left-sided, iliofemoral thrombosis. The introduction of intravascular ultrasound (IVUS) has brought out the relevance of this anomaly in the genesis of primary chronic venous insufficiency. This chapter deals with the following aspects:

Keywords

Iliac Artery Intravascular Ultrasound Iliac Vein Common Iliac Artery Vein Wall 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Neglen P. Endovascular reconstruction for chronic iliofemoral vein obstruction. In: Gloviczki P, editor. Handbook of venous disorders. 3rd ed. London: Hodder Arnold; 2009. p. 491–502.Google Scholar
  2. 2.
    Neglen P. Prevention and treatment of venous ulcers in primary chronic venous insufficiency. J Vasc Surg. 2010;52:15S–20.PubMedCrossRefGoogle Scholar
  3. 3.
    May R, Thurner J. The cause of the predominately sinistral occurrence of thrombosis of the pelvic veins. Angiology. 1957;8:419–27.PubMedCrossRefGoogle Scholar
  4. 4.
    Taheri SA, Williams J, Powell S, Cullen J, Peer R, Nowakowski P, Boman L, Pisano S. Iliocaval compression syndrome. Am J Surg. 1987;154:169–72.PubMedCrossRefGoogle Scholar
  5. 5.
    Raju S, Neglen P. High prevalence of non thrombotic iliac vein lesion in chronic venous disease: a permissive role in pathogenicity. J Vasc Surg. 2006;44:136–44.PubMedCrossRefGoogle Scholar
  6. 6.
    Cockett B, Thomas ML, Negus D. Iliac vein compression.-Its relation to iliofemoral thrombosis and the post-thrombotic syndrome. BMJ. 1967;2:14–9.PubMedCrossRefPubMedCentralGoogle Scholar
  7. 7.
    Jeon UB, Chung JW, Jae HJ, Kim HC, Kim SJ, Ha J, Park JH. May-Thurner syndrome complicated by acute iliofemoral vein thrombosis: helical CT venography for evaluation of long-term stent patency and changes in the iliac vein. AJR Am J Roentgenol. 2010;195:751–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Kim D, Orron DE, Porter DH. Venographic anatomy, technique and interpretation. In: Kim D, Orron DE, editors. Peripheral vascular imaging and intervention. St Louis: Mosby-Year Book; 1992. p. 269–349.Google Scholar
  9. 9.
    Greiner M, Dadon M, Lemasle P, Cluzel P. How does the pathophysiology influence the treatment of pelvic congestion syndrome and is the result long lasting? Phlebology. 2012;27(1):58–64.PubMedCrossRefGoogle Scholar
  10. 10.
    Berger A, Jaffe JW, York TN. Iliac compression syndrome treated with stent placement. J Vasc Surg. 1995;21:510–4.PubMedCrossRefGoogle Scholar
  11. 11.
    Neglen P, Hollis KC, Olivier J, Raju S. Stenting of venous outflow in chronic venous disease; long term stent related outcome, clinical and hemodynamic result. J Vasc Surg. 2007;46(5):979–90.PubMedCrossRefGoogle Scholar
  12. 12.
    Neglen P, Hollis KC, Raju S. Combined saphenous ablation and iliac stent placement for complex severe chronic venous disease. J Vasc Surg. 2006;44:828.PubMedCrossRefGoogle Scholar
  13. 13.
    Hartung O, Salburgo F, Claudel M, Boufi M, Alim YS. Endovascular treatment of pelvic congestion syndrome due to ilio caval obstructive lesions. Phlebology. 2012;27(6):324.Google Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.General SurgeryAmrita Institute of Medical Sciences, Amrita LaneKochiIndia

Personalised recommendations