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

References

May R, Thurner J. The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology.. ;8(5):419-27.

Cockett FB, Thomas ML. The iliac compression syndrome. Br J Surg.. ;52(10):816-21.

Cockett FB, Thomas ML, Negus D. Iliac vein compression. -Its relation to iliofemoral thrombosis and the post-thrombotic syndrome. Br Med J.. ;2(5543):14-9.

Cil BE, Akpinar E, Karcaaltincaba M, Akinci D. Case 76: May-Thurner syndrome. Radiology.. ;233(2):361-65.

Gil Martín AR, Carreras Aja M, Arrieta Ardieta I, Labayen Azparren I. Cockett's syndrome, May-Thurner syndrome, or iliac vein compression syndrome. Radiologia.. ;56(5):e5-e8.

Heniford BT, Senler SO, Olsofka JM, Carrillo EH, Bergamini TM. May-Thurner syndrome:management by endovascular surgical techniques. Ann Vasc Surg.. ;12(5):482-86.

Taheri SA, Williams J, Powell S, et al. Iliocaval compression syndrome. Am J Surg.. ;154(2):169-72.

Marques MA, Silveira PRM, von Ristow A. Prevalência de marcadores de trombofilia em pacientes portadores da síndrome de May-Thurner e trombose de veia ilíaca comum esquerda. J Vasc Bras.. ;9(4):229-32.

Melo CCS, Barros MVL, Yepez JAR. Tratamento endovascular na Síndrome de May-Thurner:relato de caso e revisão da literatura. Rev Bras Ecocardiogr Imagem Cardiovasc.. ;25(2):122-25.

Kalu S, Shah P, Natarajan A, Nwankwo N, Mustafa U, Hussain N. May-thurner syndrome: a case report and review of the literature. Case Rep Vasc Med.. ;2013:740182-40182.

Ibrahim W, Al Safran Z, Hasan H, Zeid WA. Endovascular management of may-thurner syndrome. Ann Vasc Dis.. ;5(2):217-21.

Patel NH, Stookey KR, Ketcham DB, Cragg AH. Endovascular management of acute extensive iliofemoral deep venous thrombosis caused by May-Thurner syndrome. J Vasc Interv Radiol.. ;11(10):1297-302.

Ehrich WE, Krumbhaar EB. A frequent obstructive anomaly of the mouth of the common iliac vein. Am Heart J.. ;26(6):737-50.

Foit NA, Chen QM, Cook B, Hammerberg EM. Iliofemoral deep vein thrombosis after tibial plateau fracture fixation related to undiagnosed May-Thurner syndrome: a case report. Patient Saf Surg.. ;7(1):12-2.

Akers DL Jr, Creado B, Hewitt RL. Iliac vein compression syndrome: case report and review of the literature. J Vasc Surg.. ;24(3):477-81.

Sandri GA. Tratamento endovascular das obstruções venosas crônicas do segmento iliocaval. J Vasc Bras.. ;10(2):137-44.

Moudgill N, Hager E, Gonsalves C, Larson R, Lombardi J, DiMuzio P. May-Thurner syndrome: case report and review of the literature involving modern endovascular therapy. Vascular.. ;17(6):330-35.

Boyd DA. Unilateral lower extremity edema in May-Thurner syndrome. Mil Med.. ;169(12):968-71.

Wolpert LM, Rahmani O, Stein B, Gallagher JJ, Drezner AD. Magnetic resonance venography in the diagnosis and management of May-Thurner syndrome. Vasc Endovascular Surg.. ;36(1):51-7.

O'Sullivan GJ, Semba CP, Bittner CA. Endovascular management of iliac vein compression (May-Thurner) syndrome. J Vasc Interv Radiol.. ;11(7):823-36.

Barros FS, Coelho NA. Síndrome compressiva da veia ilíaca comum esquerda pela artéria ilíaca comum direita. Guia prático de ultrassonografia vascular. :219-23.

Timi JRR, Kenegusuku J, Souza PC. Achados radiológicos na syndrome de compressão da veia ilíaca comum esquerda. Radiol Bras.. ;26:53-5.

Raju S, Neglen P. High prevalence of nonthrombotic iliac vein lesions in chronic venous disease: a permissive role in pathogenicity. J Vasc Surg.. ;44(1):136-43, discussion 144.

Neglén P, Raju S. Intravascular ultrasound scan evaluation of the obstructed vein. J Vasc Surg.. ;35(4):694-700.

Oğuzkurt L, Ozkan U, Tercan F, Koç Z. Ultrasonographic diagnosis of iliac vein compression (May-Thurner) syndrome. Diagn Interv Radiol.. ;13(3):152-55.

Neglén P, Raju S. Balloon dilation and stenting of chronic iliac vein obstruction: technical aspects and early clinical outcome. J Endovasc Ther.. ;7(2):79-91.

Palma EC, Esperon R. Vein transplants and grafts in the surgical treatment of the postphlebitic syndrome. J Cardiovasc Surg (Torino).. ;1:94-107.

Calnan JS, Kountz S, Pentecost BL, Shillingford JP, Steiner RE. Venous obstructions in the aetiology of lymphoedema praecox. Br Med J.. ;2(5403):221-26.

Michel C, Laffy PY, Leblanc G, Bonnet D. Treatment of Cockett syndrome by percutaneous insertion of a vascular endoprosthesis (Gianturco). J Radiol.. ;75(5):327-30.

Cunha JR Jr, Neves DQ, Fontes FA. Tratamento endovascular da síndrome de compressão da veia ilíaca (May-Thurner) - relato de caso. J Vasc Bras.. ;10:72-6.

Sandri JL. Síndrome de May-Thurner - tratamento endovascular. Cirurgia vascular: cirurgia endovascular, angiologia. :1998-2009.

Loukas M, Shah R, Esmaeili E, Bangeholm A, Tubbs RS, Jordan R. A case of May-Thurner syndrome. Folia Morphol (Warsz).. ;67(3):214-17.

Mullens W, De Keyser J, Van Dorpe A. Migration of two venous stents into the right ventricle in a patient with May-Thurner syndrome. Int J Cardiol.. ;110(1):114-15.

Raju S. Best management options for chronic iliac vein stenosis and occlusion. J Vasc Surg.. ;57(4):1163-169.

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