ArticleInternational journal of general medicine2021
Treatment of May-Thurner's Syndrome and Associated Complications: A Multicenter Experience.
Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 14 citations in OpenAlex.
- May-Thurner Syndrome: An Under-Recognized Etiology of Deep Vein Thrombosis (DVT).Health science reports · 2026Article
- Deep learning and radiomics-driven algorithm for automated identification of May-Thurner syndrome in Iliac CTV imaging.Frontiers in medicine · 2025Article
- Vascular compression syndromes in the abdomen and pelvis: a concise pictorial review.Abdominal radiology (New York) · 2024Review
- Familiar Disposition of May-Thurner Syndrome-A Case Series.Life (Basel, Switzerland) · 2024Article
- Management of May Thurner Syndrome in Pregnant Patients.Journal of cardiovascular development and disease · 2022Article
- Seizures, deep vein thrombosis, and pulmonary emboli in a severe case of May-Thurner syndrome: a case report.Journal of medical case reports · 2022Article
- Management strategies and clinical outcomes in patients with inferior vena cava thrombosis: Data from GARFIELD-VTE.Journal of thrombosis and haemostasis : JTH · 2022Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the treatment options and associated complications in patients with May-Thurner's syndrome (MTS).
methodsWe retrospectively reviewed the charts of patients diagnosed with MTS. Thorough review was completed and data relevant to methods of diagnosis, treatment, complications, hospital readmission, and mortality were extracted from patient charts. The patients were followed for two years after diagnosis.
resultsOf the 47 patients identified as having "MTS", 32 (70%) were diagnosed formally with either magnetic resonance venography, computed tomography venography, or ultrasound. Two patients were excluded for insufficient availability of follow-up records. Mean age of the population included (N = 30) was 50.24 ±15.33 years and 83% (N = 25) had female gender. The majority (40%) of patients were treated with anticoagulation, thrombolysis, and stent placement, and 13.3% received a combination of anticoagulation, antiplatelet agent, thrombolysis, and stent placement. Overall, we found 28 patients (93%) who underwent endovascular stenting. However, 39.3% (11/28) had stent-related complications that included stent thrombosis, stenosis, and migration. One patient underwent open heart surgery for stent retrieval. Duration of anticoagulation therapy ranged from 6 months to lifelong. Two patients (6.7%) suffered major bleeds requiring transfusion. Fourteen patients (46.6%) developed post-thrombotic syndrome. Seven (23.3%) patients required MTS-related readmission within 30 days. No mortality was noted at two-year follow-up.
conclusionAlthough our study only included 30 patients, it was evident to us that there is no consensus in the management of MTS. Furthermore, endovascular stenting, which has a major role in the management of MTS, has complication rates that hover close to 40%. Further research is needed to help develop a standardized evidence-based approach in the management of MTS that ensures a decreased risk of immediate and long-term complications.
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