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May-Thurner Syndrome
Sanjeeva P. Kalva, MD, FSIR, FCIRSE
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Iliac vein compression syndrome (IVCS)
            • Cockett syndrome
            • Iliocaval vein syndrome
          • Definitions

            • Compression of left common iliac vein (CIV) by right common iliac artery (CIA) with associated left lower extremity deep venous thrombosis (DVT)

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Angiographic Findings

                    • Other Modality Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. McDermott S et al: May-Thurner syndrome: can it be diagnosed by a single MR venography study? Diagn Interv Radiol. 19(1):44-8, 2013
                                              2. Jones TM et al: Maximal venous outflow velocity: an index for iliac vein obstruction. Ann Vasc Surg. 26(8):1106-13, 2012
                                              3. Wu WL et al: Comprehensive MDCT evaluation of patients with suspected May-Thurner syndrome. AJR Am J Roentgenol. 199(5):W638-45, 2012
                                              4. Billakanty S et al: May-Thurner syndrome: a vascular abnormality encountered during electrophysiologic study. Pacing Clin Electrophysiol. 29(11):1310-1, 2006
                                              5. Raffini L et al: May-Thurner syndrome (iliac vein compression) and thrombosis in adolescents. Pediatr Blood Cancer. 47(6):834-8, 2006
                                              6. Shebel ND et al: Diagnosis and management of iliac vein compression syndrome. J Vasc Nurs. 23(1):10-7; quiz 18-9, 2005
                                              7. Forauer AR et al: Intravascular ultrasound in the diagnosis and treatment of iliac vein compression (May-Thurner) syndrome. J Vasc Interv Radiol. 13(5):523-7, 2002
                                              8. Wolpert LM et al: Magnetic resonance venography in the diagnosis and management of May-Thurner syndrome. Vasc Endovascular Surg. 36(1):51-7, 2002
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Iliac vein compression syndrome (IVCS)
                                                        • Cockett syndrome
                                                        • Iliocaval vein syndrome
                                                      • Definitions

                                                        • Compression of left common iliac vein (CIV) by right common iliac artery (CIA) with associated left lower extremity deep venous thrombosis (DVT)

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • Angiographic Findings

                                                                • Other Modality Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Staging, Grading, & Classification

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. McDermott S et al: May-Thurner syndrome: can it be diagnosed by a single MR venography study? Diagn Interv Radiol. 19(1):44-8, 2013
                                                                                          2. Jones TM et al: Maximal venous outflow velocity: an index for iliac vein obstruction. Ann Vasc Surg. 26(8):1106-13, 2012
                                                                                          3. Wu WL et al: Comprehensive MDCT evaluation of patients with suspected May-Thurner syndrome. AJR Am J Roentgenol. 199(5):W638-45, 2012
                                                                                          4. Billakanty S et al: May-Thurner syndrome: a vascular abnormality encountered during electrophysiologic study. Pacing Clin Electrophysiol. 29(11):1310-1, 2006
                                                                                          5. Raffini L et al: May-Thurner syndrome (iliac vein compression) and thrombosis in adolescents. Pediatr Blood Cancer. 47(6):834-8, 2006
                                                                                          6. Shebel ND et al: Diagnosis and management of iliac vein compression syndrome. J Vasc Nurs. 23(1):10-7; quiz 18-9, 2005
                                                                                          7. Forauer AR et al: Intravascular ultrasound in the diagnosis and treatment of iliac vein compression (May-Thurner) syndrome. J Vasc Interv Radiol. 13(5):523-7, 2002
                                                                                          8. Wolpert LM et al: Magnetic resonance venography in the diagnosis and management of May-Thurner syndrome. Vasc Endovascular Surg. 36(1):51-7, 2002