Surgical thrombectomy and simultaneous stenting for deep venous thrombosis caused by iliac vein compression syndrome (May-Thurner syndrome)

Abstract

Results: In all patients, the procedure was successful in achieving re-canalisation of the liofemoral veins at the end of the operation. Perioperatively, there was no mortality and here was no case of clinically detected pulmonary embolism. Rethrombosis occurred ithin seven days of operation in 2 patients. During the follow-up period (mean; 16 onths), 6 of 8 patients kept patent stents. Conclusion: Venous thrombectomy with simultaneous stenting is a potent technique to reat acute iliofemoral DVT due to MTS. This technique can restore venous patency and rovide relief of the acute symptoms. Methods: From January 2009 to December 2011, a total of 8 patients underwent surgical hrombectomy with stenting. All patients were admitted for acute DVT involving the left liofemoral segment, and diagnosed MTS. Patients were followed-up, and stent patency as assessed by means of duplex sonography. Purpose: Iliac vein compression syndrome (May-Thurner syndrome) is characterized by left liac vein obstruction secondary to compression by the right common iliac artery against the ifth-lumbar vertebra, which increases incidence of deep venous thrombosis (DVT). We reated the patients with DVT due to May-Thurner syndrome (MTS) by surgical thrombectomy nd simultaneous stenting, and this study is to evaluate the outcomes of this procedure.