Journal of Clinical Interventional Radiology ISVIR (Jul 2019)

A Rare Cause of May-Thurner Syndrome Postarterial Intervention

  • Hiok Yang Chan,
  • Edward Tieng Chek Choke,
  • Tjun Yip Tang,
  • Chandramohan Sivanathan,
  • Chua Ming Er Jasmine,
  • Pradesh Kumar

DOI
https://doi.org/10.1055/s-0039-1693630
Journal volume & issue
Vol. 03, no. 03
pp. 180 – 184

Abstract

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May-Thurner syndrome (MTS) is rare condition thought to occur due to an anatomical variation. In MTS, there is left iliac vein compression by the right iliac artery and lumbar spine resulting in left lower limb deep venous thrombosis. The authors report a rare cause of MTS postarterial intervention. They describe the unusual case of an Asian man who presented with acute left lower limb deep venous thrombosis 5 days following left common iliac artery angioplasty and stent insertion. Computed tomographic (CT) venogram demonstrated the left iliac vein compression by the left iliac artery stent. Successful recanalization of the thrombosed iliac vein was achieved with a combination of pulse spray thrombolysis and rheolytic mechanical thrombectomy, followed by angioplasty and stent placement in the iliac vein. There was rapid and complete resolution of symptoms. This report illustrates the use of complementary imaging modalities and a multidisciplinary team approach to achieve a successful technical and clinical outcome following an unusual case of MTS postarterial intervention and the subsequent successful endovascular management.

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