Download PDF
CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2018; 02(02): 095-100
DOI: 10.1055/s-0038-1667208
Pictorial Essay
Thieme Medical and Scientific Publishers Private Ltd.

Osteophytic Iliac Venous Compression: Technical Considerations for a Bony May-Thurner Syndrome Variant

David S. Shin
1   Section of Interventional Radiology, Department of Radiology, University of Washington, Seattle, Washington, United States
,
Mahati Mokkarala
1   Section of Interventional Radiology, Department of Radiology, University of Washington, Seattle, Washington, United States
,
Stephen Allison
1   Section of Interventional Radiology, Department of Radiology, University of Washington, Seattle, Washington, United States
2   Department Imaging Service, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, United States
,
Eric J. Monroe
1   Section of Interventional Radiology, Department of Radiology, University of Washington, Seattle, Washington, United States
3   Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital, Seattle, Washington, United States
› Author Affiliations
Further Information

Publication History

Received: 12 April 2018

Accepted: 11 June 2018

Publication Date:
31 July 2018 (online)

   Permissions and Reprints

Abstract

May-Thurner syndrome (MTS) results in compression of the left common iliac vein between the spine and right common iliac artery leading to symptomatic venous outflow obstruction. The authors depict a classic case of MTS followed by four variant cases in which the primary culprit lesions causing compression were degenerative vertebral osteophytes. The osteophytic variant of MTS poses distinct diagnostic and therapeutic challenges.

Keywords

May-Thurner syndrome - venous compression - osteophyte - thrombolysis - stent
 

  • References

  • 1 May R, Thurner J. The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 1957; 8 (05) 419-427
    CrossrefPubMedGoogle Scholar
  • 2 Cockett FB, Thomas ML, Negus D. Iliac vein compression—its relation to iliofemoral thrombosis and the post-thrombotic syndrome. BMJ 1967; 2 5543 14-19
    CrossrefPubMedGoogle Scholar
  • 3 Butros SR, Liu R, Oliveira GR, Ganguli S, Kalva S. Venous compression syndromes: clinical features, imaging findings and management. Br J Radiol 2013; 86 1030 20130284
    CrossrefPubMedGoogle Scholar
  • 4 Kim JY, Choi D, Guk KoY, Park S, Jang Y, Lee DY. Percutaneous treatment of deep vein thrombosis in May-Thurner syndrome. Cardiovasc Intervent Radiol 2006; 29 (04) 571-575
    CrossrefPubMedGoogle Scholar
  • 5 Wax JR, Pinette MG, Rausch D, Cartin A. May-Thurner syndrome complicating pregnancy: a report of four cases. J Reprod Med 2014; 59 (05) (06) 333-336
    PubMedGoogle Scholar
  • 6 Murphy EH, Davis CM, Journeycake JM, DeMuth RP, Arko FR. Symptomatic ileofemoral DVT after onset of oral contraceptive use in women with previously undiagnosed May-Thurner Syndrome. J Vasc Surg 2009; 49 (03) 697-703
    CrossrefPubMedGoogle Scholar
  • 7 Urschel Jr HC, Patel AN. Surgery remains the most effective treatment for Paget-Schroetter syndrome: 50 years’ experience. Ann Thorac Surg 2008; 86 (01) 254-260 discussion 260
    CrossrefPubMedGoogle Scholar
  • 8 Nwoke F, Picel AC. May-Thurner syndrome and horseshoe kidney. J Vasc Interv Radiol 2016; 27 (03) 369
    CrossrefPubMedGoogle Scholar
  • 9 Young L, Kwon J, Arosemena M, Salvatore D, DiMuzio P, Abai B. Symptomatic compression of right iliac vein after right iliac artery stent placement. J Vasc Surg Venous Lymphat Disord 2017; 5 (05) 735-738
    PubMedGoogle Scholar
  • 10 Woo EJ, Ogilvie RA, Krueger VS, Lundin M, Williams DM. Iliac vein compression syndrome from anterior perforation of a pedicle screw. J Surg Case Rep 2016; 2016 (02) rjw003
    CrossrefPubMedGoogle Scholar