Evidence map›Paper›PMID 41924132›Full record

SynthesisVascular health and risk management2026

The Investigation and Management of the Abdominopelvic Vascular Compression Syndromes in Patients with Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorder.

Paulina Bruessel, Mogeshni Govender, Gert Frahm-Jensen

Abstract readSystematic Review
In one paragraph

Synthesis in Vascular health and risk management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Paulina Bruessel *Department of Vascular Surgery, The Canberra Hospital, Canberra, ACT, Australia.ORCID 0000-0002-1842-5053
Mogeshni Govender *Department of Rheumatology, The Canberra Hospital, Canberra, ACT, Australia.
Gert Frahm-JensenDepartment of Vascular Surgery, The Canberra Hospital, Canberra, ACT, Australia.ORCID 0000-0002-9557-0297

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Abdominopelvic Vascular Compression Syndrome(s) (VCS) are rare disorders with diverse symptoms that appear to occur more frequently in patients with Ehlers-Danlos Syndrome (EDS) and Hypermobility Spectrum Disorder (HSD). The reported associations between EDS/HSD, Postural Orthostatic Tachycardia Syndrome (POTS), and Mast Cell Activation Syndrome (MCAS) further complicate the diagnosis and management of the VCS in this specific patient population. This review summarises the established literature on this complex topic, highlighting these relationships, with the aim to propose a framework for recognising and managing VCS among patients with EDS/HSD. Given the limited body of literature on this topic, we also aim to underscore the need for further research within this specific patient population. Methods: A PRISMA-guided systematic review was conducted using PubMed and Ovid/Medline databases. VCS included Median Arcuate Ligament Syndrome (MALS), Superior Mesenteric Artery Syndrome (SMAS), Nutcracker Syndrome (NCS), and May-Thurner Syndrome (MTS). Given the limited number of studies, small cohort studies and case reports/series were also reviewed. Results: Of 183 screened studies, 62 met the inclusion criteria. Only six studies directly addressed the VCS in EDS/HSD. Five discussed an EDS-POTS association, two described links between MCAS, POTS, and EDS, and five associated POTS with VCS. Only one study explored all four conditions. Conclusion: Evidence suggests an association between EDS/HSD, VCS, POTS, and MCAS but remains limited. Underdiagnosis and delayed treatment are common and underscore the need for multi-disciplinary care. Invasive imaging and interventions appear generally safe in EDS/HSD, excluding vascular EDS, yet robust safety and outcome data and tailored diagnostic or treatment algorithms are lacking and require further investigation.

Indexed as

AbdomenEhlers-Danlos SyndromeJoint InstabilityMay-Thurner SyndromeMedian Arcuate Ligament SyndromePelvisPostural Orthostatic Tachycardia SyndromeRenal Nutcracker SyndromeSuperior Mesenteric Artery SyndromeFemaleHumansMalePredictive Value of TestsPrognosisRisk FactorsTreatment OutcomeEDSEhlers–Danlos syndromeHSDhypermobility spectrum disorderMALSmast cell activation syndromeMay–Thurner syndromeMCASmedian arcuate ligament syndrome

Identifiers

PMID41924132
PMCPMC13037643

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.