Iliac vein compression syndrome from anterior perforation of a pedicle screw

Woo, Edward J.; Ogilvie, R; Krueger, Van; Lundin, Michael; Williams, David M.

doi:10.1093/jscr/rjw003

Cited by 19 publications

(13 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The variant exists in a significant portion of the population but is usually asymptomatic. [ 15 ] In this study, only 6.8% developed DVT. Greater than 50% compression was an independent risk factor in the multivariate analysis, indicating that DVT may be associated with significant compression.…”

Section: Discussionmentioning

confidence: 53%

Incidence and Risk Factors of Deep Venous Thrombosis in Asymptomatic Iliac Vein Compression

Luo

Zhang

2016

Chinese Medical Journal

View full text Add to dashboard Cite

Background:Deep vein thrombosis (DVT) may be associated with iliac vein compression. Up to now, the majority of data has come from a retrospective study about the correlation between DVT and iliac vein compression. This prospective study was to determine the incidence of DVT in individuals with iliac vein compression and identify risk factors predictive of DVT.Methods:A total of 500 volunteers without symptoms of venous diseases of lower extremities and overt risk factors of deep venous thrombosis between October 2011 and September 2012 in Shijitan Hospital were enrolled in this cohort study. All the participants underwent contrast-enhanced abdominal computed tomography (CT) to evaluate iliac vein compression. Baseline demographic information and degree of iliac vein compression were collected. They were categorized into ≥50% or <50% iliac vein compression group. Ultrasound examination was performed to screen DVT at the time of CT examination and 3, 6, 9, and 12 months after the examination. Primary event was DVT of ipsilateral lower extremity. Correlation between DVT and iliac vein compression was estimated by multivariate Logistic regression after adjusting for age, gender, malignancy, surgery/immobilization, chemotherapy/hormonal therapy, and pregnancy.Results:In 500 volunteers, 8.8% (44) had ≥50% iliac vein compression and 91.2% (456) had <50% iliac vein compression. Ipsilateral DVT occurred in six volunteers including two in iliofemoral vein, two in popliteal vein, and two in calf vein within 1 year. Univariate analysis showed that the incidence of DVT was 6.8% in ≥50% compression group, significantly higher than that in <50% compression group (0.7%) (χ2 = 12.84, P = 0.01). Patients with malignancy had significantly higher incidence of DVT than those without malignancy (χ2 = 69.60, P < 0.01). Multivariate Logistic regression indicated that iliac vein compression and malignancy were independent risk factors of DVT. After adjustment for malignancy, patients with ≥50% iliac vein compression had 10-fold increased risk of developing DVT (adjusted relative risk [RR] = 10.162, 95% confidence interval [CI]: 1.149–89.865, P = 0.037). In subgroup analysis, patients with malignancy and ≥50% iliac vein compression had 12-fold increased the risk of DVT than those without malignance and ≥50% compression (RR = 12.389, 95% CI: 2.327–65.957, P = 0.003).Conclusions:Iliac vein compression is common, but the incidence of DVT is low. Only individuals with ≥50% iliac vein compression or compression combined with other risk factors might have significantly increased the risk of DVT. Further study is recommended to improve prevention strategies for DVT in significant iliac vein compression.

show abstract

Section: Discussionmentioning

confidence: 53%

Incidence and Risk Factors of Deep Venous Thrombosis in Asymptomatic Iliac Vein Compression

Luo

Zhang

2016

Chinese Medical Journal

View full text Add to dashboard Cite

show abstract

“…Various causes of iliac vein compression leading to MTS have been reported, including gravid uterus, 5 ectopic kidney, 8 right iliac artery stent, 9 and orthopaedic hardware. 10 To the best of our knowledge, this variant of MTS in which bony structures are primarily responsible for the iliac vein compression is underreported. This underrecognized entity presents distinct diagnostic and therapeutic challenges compared with classic MTS.…”

Section: Resultsmentioning

confidence: 97%

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

Shin

Mokkarala

Allison

et al. 2018

J Clin Interv Radiol ISVIR

View full text Add to dashboard Cite

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.

show abstract

“… 6 Less frequently seen are iatrogenic cases of MTS; reports in the literature include impingement on the vein due to intra-abdominal adhesions, orthopedic hardware, and a penile prosthetic reservoir. 10 , 11 , 12 , 13 Endovascular stenting of an iliac artery causing MTS is a known but rare phenomenon. Two cases in the literature describe stenting of the right iliac artery for occlusive disease resulting in iliac vein compression, one causing the classic left iliac vein compression, the other causing ipsilateral right iliac vein compression.…”

Section: Discussionmentioning

confidence: 99%

Atypical May-Thurner syndrome caused by endovascular aortic aneurysm repair

Hadley¹,

Kuwayama

2020

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

May-Thurner syndrome is characterized by unilateral lower extremity venous hypertension and stasis due to compression of an iliac vein between an iliac artery and the lumbar spine. In almost all cases, the left common iliac vein is compressed by the right common iliac artery; however, other patterns have been described. Rarely, May-Thurner syndrome may be created iatrogenically as a result of iliac artery stenting. We present an unusual case of new left common iliac vein thrombosis caused by ipsilateral left iliac artery compression after aortobi-iliac endovascular aneurysm repair.

show abstract

Iliac vein compression syndrome from anterior perforation of a pedicle screw

Cited by 19 publications

References 10 publications

Incidence and Risk Factors of Deep Venous Thrombosis in Asymptomatic Iliac Vein Compression

Incidence and Risk Factors of Deep Venous Thrombosis in Asymptomatic Iliac Vein Compression

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

Atypical May-Thurner syndrome caused by endovascular aortic aneurysm repair

Contact Info

Product

Resources

About