International Union of Angiology consensus document on vascular compression syndromes

D’ORIA, Mario; ZLATANOVIC, Petar; ANTHONY, Anthony; DUA, Anahita; FLORES, Alyssa M.; TANIOUS, Adam; RODRÍGUEZ MORATA, Alejandro; SCERRATI, Alba; BACCELLIERI, Domenico; BISCETTI, Federico; BALDAZZI, Giulia; MANTOVANI, Giorgio; SEN, Indrani; PEINADO CEBRIAN, Javier; ROCHA-NEVES, Joao; SOUSA, Joel; DAVIDOVIC, Lazar; JUSZYNSKI, Michal; MARKOVIC, Miroslav; OLLER GRAU, Mar; TESSARI, Mirko; HYNES, Niamh; GLOVICZKI, Peter; SHAW, Palma; ZAMBONI, Paolo; HINCHLIFFE, Robert; RICCI, Roberta; SULTAN, Sherif; ACHARYA, Yogesh; TROISI, Nicola; ANTIGNANI, Pier Luigi; MANSILHA, Armando; KOMLOS, Pedro P.

doi:10.23736/s0392-9590.23.05100-3

Cited by 3 publications

(14 citation statements)

References 108 publications

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“…Postprandial abdominal pain and weight loss are the most common symptoms in symptomatic patients with CACS. Other symptoms include nausea and vomiting ( 3 ). Most CACS are diagnosed when other chronic abdominal pain-related diseases are excluded.…”

Section: Celiac Artery Compression Syndromementioning

confidence: 99%

“…Many patients with CACS are treated using conservative management approaches. The surgical options for CACS include open or laparoscopic surgery to relieve MAL compression, open or endovascular revascularization of the CA, and celiac ganglion resection ( 3 , 10 , 11 ). More recently, robotic-assisted MAL release has been used in patients with MALS ( 15 ).…”

Section: Celiac Artery Compression Syndromementioning

confidence: 99%

“…The clinical manifestations of the RVCS include left flank pain, hematuria, proteinuria, and symptoms related to left gonadal vein reflux such as pelvic congestion syndrome in the female and varicocele in the male. CT venography and contrast venography are useful radiological modalities for diagnosis ( 3 , 26 , 28 ). The conservative management involves gaining weight and exercising the back muscles.…”

Section: Renal Vein Compression Syndromementioning

confidence: 99%

“…The conservative management involves gaining weight and exercising the back muscles. Open surgical options such as renocaval bypass and transposition of the LRV to the inferior vena cava and endovascular interventions including stent implantation and ovarian vein embolization are used when conservative management has failed ( 3 , 29 ). Laparoscopic extravascular stent placement has been reported as an alternative to open surgery or endovascular intervention ( 30 ).…”

Section: Renal Vein Compression Syndromementioning

confidence: 99%

“…AVCS involving the compression of blood vessels includes celiac artery compression syndrome (CACS), renal vein compression syndrome (RVCS), and iliac vein compression syndrome (IVCS). AVCS involving the compression of organs consists of superior mesenteric artery syndrome (SMAS), ureteropelvic junction obstruction, and retrocaval ureter ( Table 1 ) ( 3 , 6 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound characteristics of abdominal vascular compression syndromes

Liu,

Zheng,

Wang

et al. 2023

Front. Cardiovasc. Med.

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Abdominal vascular compression syndrome (AVCS) is caused by the compression of abdominal blood vessels by adjacent structures or the compression of abdominal organs by neighboring blood vessels. Such compressions can result in a variety of clinical symptoms. They are not commonly seen in ultrasound practices, and their presence may have been underrecognized and underdiagnosed. This article reviews the clinical features, ultrasound characteristics, and diagnostic criteria of four types of AVCS, namely, celiac artery compression syndrome, renal vein compression syndrome, iliac vein compression syndrome, and superior mesenteric artery syndrome to increase awareness of these conditions among ultrasound practitioners. The ultrasound criteria for AVCS are primarily based on studies with small sample sizes, and therefore, it is important to exercise caution if these criteria are used.

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Section: Celiac Artery Compression Syndromementioning

confidence: 99%

Section: Celiac Artery Compression Syndromementioning

confidence: 99%

Section: Renal Vein Compression Syndromementioning

confidence: 99%

Section: Renal Vein Compression Syndromementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ultrasound characteristics of abdominal vascular compression syndromes

Liu,

Zheng,

Wang

et al. 2023

Front. Cardiovasc. Med.

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A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veins

Schwarzman,

Aguilar,

Megowan

2025

Journal of Vascular Surgery Cases, Innovations and Techniques

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Prospective Cohort Study of a Treatment Strategy for a Combination of the Left Common Iliac Vein Compression Stenosis and Pelvic Venous Insufficiency

Gavrilov,

Lebedev,

Vasilyev

et al. 2024

J Endovasc Ther

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Purpose: To develop a strategy for the iliac vein stenting in patients with a combination of the left common iliac vein (LCIV) compression stenosis and pelvic venous insufficiency (PVI). Methods: This prospective comparative cohort study included 55 patients with hemodynamically significant LCIV stenosis out of 285 females with PVI screened in 2014–2022. All 55 patients underwent duplex ultrasound, multi-detector computed venography, ovarian venography, and multiplanar pelvic venography. Patients underwent LCIV stenting or the left gonadal vein (LGV) embolization as the primary intervention. The endpoints (chronic pelvic pain [CPP] relief, patency of stents, and reduction in pelvic venous reflux [PVR]) were evaluated 1 and 10 days, as well as 1, 6, and 12 months after the procedure. All patients received antithrombotic therapy after the interventions. Results: The primary LCIV stenting was performed in 49 patients and resulted in the CPP relief in 69.4%, pain reduction from 7.9±1.3 to 1.7±1.1 visual analog scale (VAS) scores (p=0.005), and substantial reduction of PVR in LGV (from 4.3±0.6 seconds to 1.9±0.3 seconds, p=0.003). The LGV embolization as the second stage of treatment was performed in 30.6% of patients with the LGV reflux greater than 5 seconds as a possible cause for the CPP persistence. The primary LGV embolization failed in 100% of patients (no changes in CPP and PVR). The LCIV stenting at the second stage resulted in the CPP relief within 10 days and the pelvic venous reflux (PVR) reduction. There were no complications of stenting, and the patency of stents in the follow-up period was 100%. Postembolization syndrome occurred in 9.5% of patients. No thromboses of the veins of the pelvis and lower extremities were identified. Conclusion: Treatment of patients with a combination of LCIV compression and PVI involves staged endovascular interventions: the LCIV stenting should be considered the first-line treatment, while the LGV embolization is performed when the PVI symptoms persist for more than 6 months and is not acceptable as the first-line treatment. Clinical Impact The developed strategy of endovascular treatment for the combination of left common iliac vein (LCIV) and pelvic venous insufficiency (PVI) provides an effective elimination of chronic pelvic pain (CPP) and reflux in the pelvic veins and avoids unnecessary embolizations of the gonadal veins, thereby eliminating possible risks related to complications of embolization. The use of antithrombotic therapy is an effective and safe approach for preventing venous thromboembolic events after endovascular interventions.

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International Union of Angiology consensus document on vascular compression syndromes

Cited by 3 publications

References 108 publications

Ultrasound characteristics of abdominal vascular compression syndromes

Ultrasound characteristics of abdominal vascular compression syndromes

A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veins

Prospective Cohort Study of a Treatment Strategy for a Combination of the Left Common Iliac Vein Compression Stenosis and Pelvic Venous Insufficiency

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