Clinical StudyPredictors of Disease Recurrence after Venoplasty and Stent Placement for May–Thurner Syndrome
Section snippets
Materials and Methods
This study was approved by the institutional review board. Informed consent was waived in view of the retrospective nature of the investigation.
Results
Fifty of 59 patients (85%) returned for scheduled postprocedural follow-up visits, and cross-sectional imaging follow-up was available in 43 patients (73%). Median follow-up was 20.7 months (interquartile range, 4.7–49.5 mo). Demographic characteristics of the full cohort and subgroup with available clinical imaging follow-up are summarized and compared in Table 1.
The subgroup with available cross-sectional imaging was representative of the full cohort (P ≥ .05) in terms of all demographic
Discussion
The present study reviewed 59 patients treated with venoplasty and stent placement for MTS at a single institution. MTS symptoms recurred in 38% of patients during a median follow-up period of 20.7 months, leading to repeat intervention in 74% of these patients. When adjusting for demographic characteristics, risk factors for thrombosis, and comorbidities that could causes similar symptoms, only identification of poor venous inflow and/or poor venous outflow at the first follow-up appointment
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Cited by (13)
Double May-Thurner syndrome causing chronic deep vein thrombosis and natural venous femoro-femoral bypass: a description of rare case.
2021, Radiology Case ReportsCitation Excerpt :Computed Tomography angiography (CTA) allows to detect the compression by overlying iliac artery against the lumbar spine and to exclude other causes of stenosis [12]; in severe cases it is necessary to exclude pulmonary or cerebral embolism. In symptomatic patients with DVT, endovascular thrombolysis with/without endovascular stenting may be indicated and required long-term prophylaxis with antithrombolytic and anticoagulant drugs [13–14]. In asymptomatic MTS a long-term prophylaxis with anticoagulant drugs is recommended.
Stent characteristics of 32 patients with early (<14 days) iliofemoral stent occlusion
2021, Journal of Vascular Surgery: Venous and Lymphatic DisordersTechnical Feasibility and Clinical Efficacy of Iliac Vein Stent Placement in Adolescents and Young Adults with May–Thurner Syndrome
2024, CardioVascular and Interventional RadiologyAntithrombotic Therapy After Venous Interventions: AJR Expert Panel Narrative Review
2022, American Journal of RoentgenologyMay Thurner syndrome: description of a case with unusual clinical onset
2022, Journal of Ultrasound
None of the authors have identified a conflict of interest.