ISSN: 2630-5720 | E-ISSN: 2687-346X
Laparoscopic Endoscopic Surgical Science The Radiologic Diagnosis and Result of Endovascular Management of May-Thurner Syndrome [Haydarpasa Numune Med J]
Haydarpasa Numune Med J. 2024; 64(2): 138-142 | DOI: 10.14744/hnhj.2023.75010

The Radiologic Diagnosis and Result of Endovascular Management of May-Thurner Syndrome

Demet Doğan1, Seviye Bora Şişman2, Hakan Barutca2, Hasan Şahan2, Sinan Şahin2
1Department of Radiology, Okan University, Istanbul, Türkiye
2Department of Radiology, University of Health Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Türkiye

INTRODUCTION: This study aims to present the clinical and radiologic findings of 20 cases diagnosed with May-Thurner Syndrome, along with an assessment of radiologic treatment modalities and their outcomes.
METHODS: We enrolled 20 patients diagnosed with May-Thurner Syndrome based on radiologic assessments conducted at our hospital's radiology department. Cases with more than 80% iliac vein compression on Multidetector Computed Tomography (MDCT) venography underwent conventional venography for diagnosis confirmation and subsequent endovascular intervention. We analyzed the degree of compression, clinical and radiologic presentations, follow-up imaging, and treatment outcomes.
RESULTS: Among the cases, two were asymptomatic and incidentally discovered. Venous insufficiency was present in various forms: superficial-deep insufficiency in five cases, acute deep vein thrombosis (DVT) in one, chronic DVT in nine, and a combination of superficial-deep insufficiency with chronic DVT in three cases. MDCT venography was performed for all patients. Four patients received endovascular treatment, resulting in patent stents on follow-up MDCT imaging.
DISCUSSION AND CONCLUSION: In patients exhibiting symptoms of venous insufficiency or recurrent DVT in the left lower extremity, considering May-Thurner Syndrome in the diagnostic process is crucial to ensure appropriate treatment and mitigate potential complications. Endovascular intervention represents a viable alternative to surgical approaches, particularly in cases demonstrating significant compression.

Keywords: Diagnosis, May-Thurner Syndrome, Radiology, Treatment

Demet Doğan, Seviye Bora Şişman, Hakan Barutca, Hasan Şahan, Sinan Şahin. The Radiologic Diagnosis and Result of Endovascular Management of May-Thurner Syndrome. Haydarpasa Numune Med J. 2024; 64(2): 138-142

Corresponding Author: Demet Doğan, Türkiye
Manuscript Language: English
LookUs & Online Makale