May-Thurner Syndrome – a rare cause of leg pain and swelling
在这种情况下,一个75岁的女性了painful swelling in her left leg shortly after stents were placed in her iliac arteries, which are blood vessels in the upper thigh that allow blood to flow from the heart to the legs. A stent is a small, stiff tube made of metallic mesh-wire that is expanded within the blocked segment of a blood vessel, either an artery or a vein, to reestablish blood flow. Veins allow return of blood back to the heart and lungs, where oxygen is restored and the blood is readied for redistribution back to the body, and their blockage can often lead to the types of symptoms our patient was experiencing. Since the cause of her symptoms was most likely a blocked vein, pictures where taken by injecting a dye into the leg veins as well as the leg arteries. This allows for their visualization using fluoroscopy, an advanced-type of x-ray. These pictures showed that the flow of blood from her left leg was blocked by compression of the left iliac vein by the previously placed stent in the adjacent artery (Fig. 1A). This is an example of a rare condition known May-Thurner Syndrome.
Fig. 1. A. Imaging of the vein in the upper thigh showing stoppage of bloodflow at level of the overlapping artery stent (yellow arrow). The mesh-wire appearance of the stents in the leg arteries can be seen.
B. A stent placed within the vein covers the region of compression by the previously placed arterial stent. The overlapping arterial and venous stents criss-cross at the region of previous compression (yellow arrow). Simutlaneous injection of dye into the veins and arteries demonstrated restoration of blood flow (not shown).
May-Thurner Syndrome is a specific condition caused by blockage of blood flow within the veins of the upper legs due to outside compression. This may result in painful swelling, similar to what was experienced by our patient, and discoloration of the legs. Another stent was placed in the vein at the site of compression to reinforce the vein and restore flow (Fig. 1B). Following placement of the stent, pictures of the arteries and veins within her legs were taken and showed excellent blood flow. After two weeks, she was seen in the office and had significant improvement in her symptoms. At her six-month follow-up visit, she continued to feel well.
Paul L. Hermany1, Apurva O. Bhadeka2, Carlos I. Mena-Hurtado1, Robert R. Attaran1
1Yale University School of Medicine, Department of Cardiovascular Medicine; New Haven, CT, USA
2The Everett Clinic; Everett, WA, USA
Publication
A Unique Case of May-Thurner Syndrome: Extrinsic Compression of the Common Iliac Vein After Iliac Artery Stenting.
Hermany PL, Badheka AO, Mena-Hurtado CI, Attaran RR
JACC Cardiovasc Interv. 2016 Mar 14
Related Articles:
|
Nickel free, built-in nanotubular drug eluting stentsCoronary Artery Disease is a common cause of heart failure. Coronary Artery Disease (CAD) is caused by the accumulation of lipids and fats within an injured arteries’ walls and restricts… |
|
Muscle pain treated with injected normal saline solutionPain comes in all shapes and sizes. Ranging from acute to chronic, from nociceptive and myofascial to neuropathic, pain is a part of life. Myofascial or muscle pain, is among… |
|
Investigating SOCS3 as a new target for drugs to treat…Pulmonary arterial hypertension (PAH) is a fatal disease caused by the walls of the small blood vessels that supply the lungs walls becoming thicker (Fig. 1) and unable to adapt… |
|
Intense light boosts the circadian function of cardiac…Humans are daily exposed to intense light in the form of sunlight which is crucial for the circadian rhythms in our bodies to properly function. This is important as circadian… |
|
How PET ameliorates 90-Yttrium therapy in inoperable liver…Increased synthesis of blood vessels and blood supply are essential characteristics of a tumor to secure nutrient delivery and growth. One of the treatment options for inoperable liver cancer (hepatocellular carcinoma,… |
|
Cerebral venous hemodynamic in a rat model of acute epidural…Traumatic brain injury (TBI) is currently one of the most serious public-health problems, with an annual global incidence rate of 319/100,000. TBI includes primary injuries directly caused by mechanical stress… |
Leave a Reply
You must belogged into post a comment.