The Myth of May Thurner

Abstract

Less invasive contemporary endovenous techniques with improved stents have made treatment of the May Thurner Syndrome(MTS) more accessible and safer. However, clear criteria for the accurate diagnosis remain obscure. All imaging modalities are performed with patients in a supine position were compression of the left Common Iliac Vein is seen in both asymptomatic and symptomatic patients. There is no clear threshold value. There are no validated hemodynamic criteria. This leads to the necessity of additional information such as measurements performed in an upright position as well as greater scrutiny in detecting fibrous wall thickening and spurs as well as identifying the presence of venous collaterals. Moreover, those contemplating treating MTS should not only identify specific symptoms, but also should consider that patient complaints may be related to a more complex presentation of pelvic congestion.

Das May-Thurner-Syndrom – der Beckenvenensporn – in heutiger Zeit

“…In der weiteren Forschung ist mit der Zeit jedoch die Betonung auf das Vorhandensein von Venenspornen verloren gegangen, da sich die Untersucher*innen auf die Symptome der Patient*innen konzentrieren [21]. Demnach steht die Kompression der VICS durch die A. iliaca communis dextra im Vordergrund [e. g. ref.…”