Iliac vein compression syndrome: literature review

Iliac vein compression syndrome is a clinical condition in which the right common iliac artery extrinsically compresses the left common iliac vein. The syndrome predominantly affects young women between their 2nd and 4th decades of life. In view of the syndrome's potential complications, it sho...

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Bibliographic Details
Published in:Jornal vascular brasileiro 2015-03, Vol.14 (1), p.78-83
Main Authors: Cavalcante, Leonardo Pessoa, Souza, José Emerson dos Santos, Pereira, Raquel Magalhães, Bernardes, Marcos Velludo, Amanajás, Alan Maurice da Silva, Parisati, Marcos Henrique, Rocha, Ricardo Dias da, Araújo, Antônio Oliveira de
Format: Article
Language:English
Subjects:
angioplastia
artéria ilíaca
CARDIAC & CARDIOVASCULAR SYSTEMS
flebografia
insuficiência venosa
PERIPHERAL VASCULAR DISEASE
SURGERY
Síndrome de May-Thurner
veia ilíaca
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Summary:Iliac vein compression syndrome is a clinical condition in which the right common iliac artery extrinsically compresses the left common iliac vein. The syndrome predominantly affects young women between their 2nd and 4th decades of life. In view of the syndrome's potential complications, it should be recognized/diagnosed and treated in symptomatic patients before it causes irreversible damage to patients' venous systems. Noninvasive methods, such as venous color Doppler US are reasonable screening methods, but angiotomography and magnetic resonance angiography are more reliable diagnostic tools and the method of choice for confirmation of diagnosis remains multi-plane phlebography with measurement of pressure gradients. Endovascular treatment (angioplasty with placement of self-expanding stents) is safe and effective and can replace open surgical reconstruction and/or anticoagulation alone.
ISSN:1677-7301
1677-7301
DOI:10.1590/1677-5449.20140027