The Myth of May Thurner
| Autor: | Irwin M. Toonder |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Supine position business.industry Less invasive 030204 cardiovascular system & hematology May–Thurner syndrome medicine.disease Asymptomatic 030218 nuclear medicine & medical imaging Pelvic congestion 03 medical and health sciences 0302 clinical medicine Left common iliac vein medicine Radiology Thickening medicine.symptom Presentation (obstetrics) Cardiology and Cardiovascular Medicine business |
| Zdroj: | Phlebologie. 49:230-232 |
| ISSN: | 2567-5826 0939-978X |
| DOI: | 10.1055/a-1213-0756 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|