Síndrome de May-Thurner, diagnóstico y tratamientoa propósito de un caso

  1. Díaz de Santiago, I. 1
  2. Insausti Gorbea, I. 2
  3. de Miguel Gaztelu, M. 3
  4. Albás Sorrosal, S. 1
  5. Poblet Florentín, J. 1
  6. Rubio Vela, T. 4
  1. 1 Servicio de Medicina Interna. Complejo Hospitalario de Navarra
  2. 2 Servicio de Radiología. Complejo Hospitalario de Navarra
  3. 3 Servicio de Farmacia Hospitalaria. Complejo Hospitalario de Navarra
  4. 4 Complejo Hospitalario de Navarra
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Zeitschrift:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Datum der Publikation: 2019

Ausgabe: 42

Nummer: 1

Seiten: 79-82

Art: Artikel

DOI: 10.23938/ASSN.0393 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Anales del sistema sanitario de Navarra

Objetivos de desarrollo sostenible

Zusammenfassung

According to scientific evidence, deep venous thrombosis (DVT) is treated with anticoagulation therapy, involving different periods of time depending on the cause. Occasionally, recurrences appear in the same location, with May-Thurner syndrome or Cockett syndrome as one reason, due to compression of the ilio-cava venous system between the vertebral bodies and the arterial system. In these cases, anticoagulation therapy must be maintained during the same time as in the rest of DVT, but as opposed to them, thrombectomy is recommended, with or without the implant of a venous stent in order to avoid recurrence. There is no consensus in the literature regarding the indication of antiaggregation therapy after the anticoagulation therapy period.We present a case of May-Thurner syndrome treated with thrombectomy and the implant of a venous stent, which yielded an optimum management of the disease.

Bibliographische Referenzen

  • VIRCHOW R. [Sobre las extensiones de los vasos pequeño]. Arch Pathol Anat Physiol Klin Med 1851; 3: 419-427.
  • MCMURRICH JP. The occurrence of congenital adhesions in the common iliac veins and their relation to thrombosis of the femoral and iliac veins. Am J Med Sci 1908; 135: 342-346.
  • MAY R, THURNER J. The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 1957; 8: 419-427.
  • BRAZEAU NF, HARVEY HB, PINTO EG, DEIPOLYI A, HESKETH RL, OKLU R. May-Thurner syndrome: diagnosis and management. Vasa 2013; 42; 96-105.
  • MOUSA AY, ABURAHMA AF. May-Thurner syndrome: update and review. Ann Vasc Surg 2013; 27: 984-995.
  • BIRN J, VEDANTHAM S. May-Thurner syndrome and other obstructive iliac vein lesions: meaning, myth, and mystery. Vasc Med 2015; 20: 74-83.
  • MCDERMOTT S, OLIVEIRA G, ERGUL E, BRAZEAU N, WICKY S, OKLU R. May-Thurner syndrome: can it be diagnosed by a single MR venography study? Diagn Interv Radiol 2013; 19: 44-48.
  • SHEBEL ND, WHALEN CC. Diagnosis and management of iliac vein compression syndrome. J Vasc Nurs 2005; 23: 10-17; quiz 18-19.
  • GUREL K, GUREL S, KARAVAS E, BUHARALIOGLUY, DAGLAR B. Direct contrast-enhanced MR venography in the diagnosis of May-Thurner Syndrome. Eur J Radiol 2011; 80: 533-536.
  • CANALES JF, KRAJCER Z. Intravascular ultrasound guidance in treating May-Thurner syndrome. Tex Heart Inst J 2010; 37: 496-497.
  • ALONSO JL, ABÍNZANO ML, URBIETA MA, ANNICCHERICO FJ. Tratamiento ambulatorio de la trombosis venosa profunda: comparación con tratamiento en hospitalización de pacientes de un registro histórico. An Sist Sanit Navar 2009; 32: 35-42.
  • BRAZEAU NF, HARVEY HB, PINTO EG, DEIPOLYI A, HESKETH RL, OKLU R. May-Thurner syndrome: diagnosis and management. Vasa 2013; 42: 96-105.
  • MEISSNER MH, GLOVICZKI P, COMEROTA AJ, DALSING MC, EKLOF BG, GILLESPIE DL et al. Early thrombus removal strategies for acute deep venous thrombosis: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2012; 55: 1449.
  • TAHA MA, BUSUTTIL A, BOOTUN R, DAVIES AH. A systematic review on the use of deep venous stenting for acute venous thrombosis of the lower limb. Phlebology 2018; doi: 10.1177/0268355518772760.
  • MILINIS K, THAPAR A, SHALHOUB J, DAVIES AH. Antithrombotic therapy following venous stenting: international delphi consensus. Eur J Vasc Endovasc Surg 2018; 55: 537-544.
Fuente de los datos: Dialnet