Treatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent

May–Thurner syndrome (MTS) is caused by compression of the left iliac vein by the right iliac artery, leading to clinical manifestations of outflow obstruction in the lower limb and deep vein thrombosis. There have been increasing reports of iatrogenic MTS caused by medical implants. The authors rep...

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Autores principales:	Raleene Gatmaitan, Keagan Werner-Gibbings, Tommaso Donati, Prakash Saha, Stephen Black
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2020
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/2797a3eeb053447383d3afd2e5486259
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spelling	oai:doaj.org-article:2797a3eeb053447383d3afd2e54862592021-12-04T16:03:47ZTreatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent10.15420/ver.2020.102516-33022516-3299https://doaj.org/article/2797a3eeb053447383d3afd2e54862592020-12-01T00:00:00Zhttps://www.verjournal.com/articles/treatment-of-may-thurner-syndromehttps://doaj.org/toc/2516-3299https://doaj.org/toc/2516-3302May–Thurner syndrome (MTS) is caused by compression of the left iliac vein by the right iliac artery, leading to clinical manifestations of outflow obstruction in the lower limb and deep vein thrombosis. There have been increasing reports of iatrogenic MTS caused by medical implants. The authors report the case of a 60-year-old man who developed MTS after stenting of the right common iliac artery. Due to the debilitating nature of the patient’s symptoms of venous congestion in the left leg, he proceeded with endovascular venoplasty and venous stent insertion with concurrent intra-arterial balloon angioplasty of the existing right common iliac artery stent. Technical success and primary patency of arterial and venous stents were achieved. The patient remained asymptomatic at 6 weeks and 3 months follow-up and arterial and venous stents were found to be patent on duplex ultrasound. Surgical management of MTS may include thrombolysis, thrombectomy, venoplasty and stenting of the left common iliac vein. Care must be taken to preserve existing medical implants during treatment of MTS. The authors demonstrate that concurrent angioplasty of the right common iliac artery during treatment of the vein is an effective method of preventing arterial stent disruption during surgical management of MTS.Raleene GatmaitanKeagan Werner-GibbingsTommaso DonatiPrakash SahaStephen BlackRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENVascular and Endovascular Review , Vol 3, Iss , Pp - (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Raleene Gatmaitan Keagan Werner-Gibbings Tommaso Donati Prakash Saha Stephen Black Treatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent
description	May–Thurner syndrome (MTS) is caused by compression of the left iliac vein by the right iliac artery, leading to clinical manifestations of outflow obstruction in the lower limb and deep vein thrombosis. There have been increasing reports of iatrogenic MTS caused by medical implants. The authors report the case of a 60-year-old man who developed MTS after stenting of the right common iliac artery. Due to the debilitating nature of the patient’s symptoms of venous congestion in the left leg, he proceeded with endovascular venoplasty and venous stent insertion with concurrent intra-arterial balloon angioplasty of the existing right common iliac artery stent. Technical success and primary patency of arterial and venous stents were achieved. The patient remained asymptomatic at 6 weeks and 3 months follow-up and arterial and venous stents were found to be patent on duplex ultrasound. Surgical management of MTS may include thrombolysis, thrombectomy, venoplasty and stenting of the left common iliac vein. Care must be taken to preserve existing medical implants during treatment of MTS. The authors demonstrate that concurrent angioplasty of the right common iliac artery during treatment of the vein is an effective method of preventing arterial stent disruption during surgical management of MTS.
format	article
author	Raleene Gatmaitan Keagan Werner-Gibbings Tommaso Donati Prakash Saha Stephen Black
author_facet	Raleene Gatmaitan Keagan Werner-Gibbings Tommaso Donati Prakash Saha Stephen Black
author_sort	Raleene Gatmaitan
title	Treatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent
title_short	Treatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent
title_full	Treatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent
title_fullStr	Treatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent
title_full_unstemmed	Treatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent
title_sort	treatment of may–thurner syndrome in a patient with an iliac artery stent
publisher	Radcliffe Medical Media
publishDate	2020
url	https://doaj.org/article/2797a3eeb053447383d3afd2e5486259
work_keys_str_mv	AT raleenegatmaitan treatmentofmaythurnersyndromeinapatientwithaniliacarterystent AT keaganwernergibbings treatmentofmaythurnersyndromeinapatientwithaniliacarterystent AT tommasodonati treatmentofmaythurnersyndromeinapatientwithaniliacarterystent AT prakashsaha treatmentofmaythurnersyndromeinapatientwithaniliacarterystent AT stephenblack treatmentofmaythurnersyndromeinapatientwithaniliacarterystent
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Treatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent

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