Managing May-Thurner Syndrome: A Review Focusing on Evolving Treatment Modalities

Hsu, Wen-Hsien; Chang, Tong‐Bou; Tsai, Tzu‐Hsiu; Lee, Chin-Long; Hsu, Davina Rene

doi:10.1016/j.jecm.2012.09.001

Cited by 2 publications

(1 citation statement)

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“…According to the current literature, MTS is diagnosed in about 2-5% of patients undergoing evaluation for venous disorders of the lower extremities, however Xue et al reported it in up to 37% of affected patients among a study cohort of DVT. [21][22][23] Whenever MTS is confirmed, patients should receive additional endovascular stent implantation in the CIV, as this approach is critical to prevent PTS and immediate re-thrombosis. In this regard, we suggest that all patients with iliofemoral DVT consider further imaging, preferably using CT scanning, to reliably examine the IVs in detail.…”

Section: Discussionmentioning

confidence: 99%

Open surgery for iliofemoral deep vein thrombosis with temporary arteriovenous fistula remains valuable

et al. 2017

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Objective We assessed outcomes of open surgical venous thrombectomy with temporary arteriovenous fistula, and the procedure's effect on health-related quality of life. Method We retrospectively analyzed 48 (26 at long-term) patient medical records. Mortality rates, patency, and risk of post-thrombotic syndrome were analyzed using Kaplan-Meier estimation. The association between risk factors/coagulation disorders and patency/post-thrombotic syndrome along with patient health-related quality of life at long-term was analyzed employing various statistical methods. Results Patient one-year survival rate was 93 ± 4% and primary one-year patency rate was 89 ± 5% (secondary one-year patency rate 97 ± 3%). Freedom from post-thrombotic syndrome after eight years was 80 ± 12% (post-thrombotic syndrome rate 20 ± 12%). Health-related quality of life was impaired vs. normative data in the physical and social subscales, and in the mental component score ( p < .05). Conclusions Open surgical venous thrombectomy appears safe compared with literature-reported outcomes in similar patients using alternative approaches. Iliofemoral deep vein thrombosis impairs physical, social, and mental health-related quality of life.

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Section: Discussionmentioning

confidence: 99%