A comprehensive review of the history, pathophysiology, diagnosis, and treatment of iliac vein entrapment syndrome, also known as May-Thurner syndrome

Domenico Baccellieri,MD, Associate Professor Vein Center, Vascular Surgery Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy Ferdinando B. A. Valente, MD Vein Center, Vascular Surgery Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy Vincenzo Ardita, MD, PhD Vein Center, Vascular Surgery Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy Mert Dumantepe, MD, PhD Florence Nightingale Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey ABSTRACT May-Thurner syndrome (MTS), also known as iliac vein entrapment syndrome, is caused by extrinsic compression of the left common iliac vein—most often by the right common iliac artery—leading to venostasis and potential development of deep vein thrombosis…

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Duplex ultrasound investigation in pelvic congestion syndrome: technique and results

Philippe LEMASLE1 Milka GREINER2 1 Cabinet Nouvelle France, 15 rue Pottier, 78150 Le Chesnay, France 2 American Hospital of Paris, Vascular Department, 63 Bd Victor Hugo, 92200 Neuilly sur Seine, France Abstract Chronic pelvic venous insufficiency is a common pathology, but it is overlooked and underdiagnosed as it sits on the edge of two medical specialties: gynecology and vascular medicine. It manifests most frequently as pelvic varicose veins and pelvic venous reflux toward the lower limbs. When symptomatic, it is expressed in the pelvic area as a sometimes-disabling pelvic congestion syndrome and/or in the lower limbs as it supplies the…

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