Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.20140027
Jornal Vascular Brasileiro
Review Article

Iliac vein compression syndrome: literature review

Síndrome de compressão da veia ilíaca: revisão de literatura

Leonardo Pessoa Cavalcante; José Emerson dos Santos Souza; Raquel Magalhães Pereira; Marcos Velludo Bernardes; Alan Maurice da Silva Amanajás; Marcos Henrique Parisati; Ricardo Dias da Rocha; Antônio Oliveira de Araújo

http://dx.doi.org/10.1590/1677-5449.20140027 J Vasc Bras, vol.14, n1, p.78-83, 2015
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Abstract

Iliac vein compression syndrome is a clinical condition in which the right common iliac artery extrinsically compresses the left common iliac vein. The syndrome predominantly affects young women between their 2nd and 4th decades of life. In view of the syndrome's potential complications, it should be recognized/diagnosed and treated in symptomatic patients before it causes irreversible damage to patients' venous systems. Noninvasive methods, such as venous color Doppler US are reasonable screening methods, but angiotomography and magnetic resonance angiography are more reliable diagnostic tools and the method of choice for confirmation of diagnosis remains multi-plane phlebography with measurement of pressure gradients. Endovascular treatment (angioplasty with placement of self-expanding stents) is safe and effective and can replace open surgical reconstruction and/or anticoagulation alone.

Keywords

May-Thurner Syndrome, iliac artery, iliac vein, venous insufficiency, phlebography, angioplasty

Resumo

A Síndrome de Compressão da Veia Ilíaca (SCVI) é uma situação clínica na qual a artéria ilíaca comum direita comprime extrinsecamente a veia ilíaca comum esquerda. Há uma predominância em mulheres jovens, entre a segunda e a quarta décadas de vida. Levando-se em consideração as complicações potenciais da síndrome, esta deve ser reconhecida/diagnosticada e tratada, em pacientes sintomáticos, antes que cause alterações irreversíveis no sistema venoso do paciente. Métodos não invasivos, como o US-Doppler colorido, quando realizados por examinadores experientes, são métodos de triagem razoáveis; porém, a angiotomografia e a angiorressonância são mais fidedignas. O método de escolha para a confirmação diagnóstica consiste na flebografia, em múltiplas incidências, com aferição de gradientes pressóricos. O tratamento endovascular (angioplastia com colocação de stent autoexpansível) é seguro e efetivo, podendo substituir a reconstrução cirúrgica aberta e/ou a anticoagulação isolada.

Palavras-chave

Síndrome de May-Thurner, artéria ilíaca, veia ilíaca, insuficiência venosa, flebografia, angioplastia

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