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Surgical Venous Thrombectomy for Chronic May-Thurner Sysndrome - 2 cases report -  

Yie, Kil-Soo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kangwon National University)
Kim, Yong-Hoon (Department of Internal Medicine, College of Medicine, Kangwon National University)
Min, Sun-Kyung (Department of Thoracic and Cardiovascular Surgery, Seoul Paik Hospital, College of Medicine, Inje University)
Kim, Hyoung-Rae (Department of Interventional Radiology, College of Medicine, Kangwon National University)
Lee, Bong-Ki (Department of Internal Medicine, College of Medicine, Kangwon National University)
Kang, Seong-Sik (Department of Anesthesiology and Pain Clinic, College of Medicine, Kangwon National University)
Publication Information
Journal of Chest Surgery / v.42, no.5, 2009 , pp. 677-683 More about this Journal
Abstract
May-Thurner syndrome is a deep vein thrombosis of the ilio-femoral vein due to compression of the left common iliac vein by the overlying right common iliac artery. Although, catheter directed thrombectomy (CDT) and thrombolysis with stent insertion has become the standard treatment method for acute or subacute May-Thurner syndrome, because of technical feasibility and lower recurrence rate, however, sometimes this methods make fatal complications. Furthermore, there are few reports on optimal treatment strategies for patients in a chronic state of May-Thurner syndrome. We now present two cases of chronic (> 1 month since onset of symptoms) May-Thurner syndrome treated by surgical thrombectomy and femoral arteriovenous shunt with simultaneous stent insertion after failed endovascular treatment. This technique may provide a significant benefit for patients who are not suitable for conventional endovascular treatment.
Keywords
Thrombosis; Deep vein thrombosis; Stents; Thrombolysis; Surgery;
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