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Date Published: 02/11/2020
Abstract Views: 1641
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DOI: https://doi.org/10.47972/vjcts.v21i.59
Issue
Vol. 21
Section
Research Article
How to Cite
Long, L. P. ., & Nam, N. H. . (2020). The role of May-Thurner syndrome in deep venous thrombosis. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 21, 32-37. https://doi.org/10.47972/vjcts.v21i.59

The role of May-Thurner syndrome in deep venous thrombosis

Le Phi Long, Nguyen Hoai Nam

Main Article Content

Abstract

Group I: Among the 30 patients who underwent surgical thrombectomy by Fogarty balloon, we identified 9/30 (30%) cases of May- Thurner syndrome. The mean age was 44.4. Male/female rate was 1/8. The early rethrombosis rate was high as 89%, and the mean VCSS score was 7.265. The success rate of endovenous interventional reconstruction was seen in only 1 case technically. Group II: Surgical thrombectomy and/or endovenous interventional reconstruction were performed in 60 cases. Fifty seven of them were acute proximal deep venous thrombosis and three of them were postthrombotic syndrome. The diagnosis of May- Thurner syndrome was confirmed in 37/60(61.6%) cases by preoperative CT venography images and intraoperative contrast venography. Endovenous reconstruction by ballooning and stenting were successfully performed in 35/37 (94.6%) cases. The early rethrombosis in this group was significantly lower than that in group I (21.6% versus 89%) and the quality of life after treatment was also improved when comparing the VCSS score between the 2 group (5.025 versus 7.265). May-Thurner syndrome is considered as a common cause of deep venous thrombosis. This diagnosis should be confirmed, especially if the symptom is left leg swelling. The diagnosis is mainly based on the specific images of CT Scan venography. Current guideline for the treatment suggests catheter directed thrombolysis following by endovenous ballooning and stenting reconstruction. *

Article Details

Keywords

Deep venous thrombosis, May- Thurner syndrome, Venous Clinical Severity Score.

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