May Thurner Syndrome - Diagnosis and Treatment - Vein Specialists of the Carolinas

MayThurner syndrome (MTS), also known as the iliac vein compression syndrome, is a condition in which compression of the common venous outflow tract of the left lower extremity may cause discomfort, swelling, pain or blood clots (deep venous thrombosis) in the iliofemoral veins.

Symptoms include dull aching, heaviness, leg cramps, increased pain upon standing, reduced pain when legs are raised, redness of the ankles and/or legs, skin color change thrombosis. The continued pulsation of the artery as it crosses over the vein and compresses it, cause inflammation and scarring in and around the vein. This narrows and blocks the outflow of the leg.

Diagnosing May-Thurner Syndrome:

Because symptoms of May-Thurner Syndrome can be mistaken for symptoms of venous insufficiency of the lower extremity, an inaccurate diagnosis can result. For this reason, you should always see an experienced vascular surgeon. A much more thorough investigation of the veins needs to be done – once medical causes have been excluded. Undiagnosed vein problems are a very common cause of swelling. Dr. Draughn, vein specialist has studied with the world’s pioneers and leading experts learning to diagnose and treat May-Thurner Syndrome.

IntraVenous UltraSound (IVUS):

Intravenous ultrasound is the newest state of the art technology to diagnose May-Thurner. A tiny ultrasound probe on the tip of a long catheter is inserted into the veins where very precise images and videos of the veins can be obtained. If a blockage of more than 50% is found – Venoplasty and Stenting is the recommended treatment.

VENOPLASTY AND STENTING:

Almost everyone has heard of “balloon angioplasty and stenting of blocked heart arteries.” Venoplasty is the phrase we use when we open up a vein with a balloon. This replaces open surgery that was complicated, risky and was difficult to get reproducibly good outcomes. It allows the venous blood to drain from the leg easier and helps in relieving, pain, swelling, and allowing ulcers to heal with less risk of recurrence. This procedure can be done under heavy sedation or you can be “completely out” with our Certified Nurse Anesthetists under Dr Draughn’s supervision.

At Vein Specialists of the Carolinas we have the cutting edge technology to diagnose and treat May Thurner Syndrome in our accredited office based surgical suite.

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