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Sukovatykh B.S.

Kursk State Medical University

Sapelkin S.V.

Vishnevsky National Medical Research Center of Surgery

Sereditsky A.V.

Oryol Regional Clinical Hospital

Muradyan V.F.

Oryol Regional Clinical Hospital

Sukovatykh M.B.

Kursk State Medical University

Lapinas A.A.

Oryol Regional Clinical Hospital

Successful endovascular treatment of proximal deep vein thrombosis following May-Thurner syndrome

Authors:

Sukovatykh B.S., Sapelkin S.V., Sereditsky A.V., Muradyan V.F., Sukovatykh M.B., Lapinas A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(9): 99‑105

DOI: 10.17116/hirurgia202409199

Views: 296

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To cite this article:

Sukovatykh BS, Sapelkin SV, Sereditsky AV, Muradyan VF, Sukovatykh MB, Lapinas AA. Successful endovascular treatment of proximal deep vein thrombosis following May-Thurner syndrome. Pirogov Russian Journal of Surgery. 2024;(9):99‑105. (In Russ.)
https://doi.org/10.17116/hirurgia202409199

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Endo­vascular treatment of deep vein thro­mbosis of the upper extremities. Piro­gov Russian Journal of Surgery. 2024;(2):45-51

We present two clinical cases of successful endovascular treatment of proximal deep vein thrombosis following May-Thurner syndrome. In the first case, 2-day regional catheter thrombolysis, percutaneous mechanical thrombectomy and venous stenting were required to restore hemodynamics in the left lower limb. In the second case, regional catheter thrombolysis continued for 3 days with subsequent thrombotic mass lysis. However, iliac vein was severely narrowed that required venous stenting. Long-term results were favorable in both cases. Venous outflow has become almost normal after endovascular treatment. The patients’ ability to work has been restored.

Keywords:

May-Thurner syndrome
thrombosis
regional catheter thrombolysis
percutaneous mechanical thrombectomy
venous stenting

Authors:

Sukovatykh B.S.

Kursk State Medical University

Sapelkin S.V.

Vishnevsky National Medical Research Center of Surgery

Sereditsky A.V.

Oryol Regional Clinical Hospital

Muradyan V.F.

Oryol Regional Clinical Hospital

Sukovatykh M.B.

Kursk State Medical University

Lapinas A.A.

Oryol Regional Clinical Hospital

Received:

11.12.2023

Accepted:

22.04.2024

List of references:

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  2. Kölbel T, Lindh M, Akesson M, Wassèlius J, Gottsäter A, Ivancev K. Chronic iliac vein occlusion: midterm results of endovascular recanalization. Journal of Endovascular Therapy. 2009;16(4):483-91.  https://doi.org/10.1583/09-2719.1
  3. Alhalbouni S, Hingorani A, Shiferson A, Gopal K, Jung D, Novak D, Marks N, Ascher E. Iliac-femoral venous stenting for lower extremity venous stasis symptoms. Annals of Vascular Surgery. 2012;26(2):185-9.  https://doi.org/10.1016/j.avsg.2011.05.033
  4. Knuttinen MG, Naidu S, Oklu R, Kriegshauser S, Eversman W, Rotellini L, Thorpe PE. May-Thurner: diagnosis and endovascular management. Cardiovascular Diagnosis and Therapy. 2017;7(Suppl 3):S159-S164. https://doi.org/10.21037/cdt.2017.10.14
  5. Lubberts B, Pereira P, Kabrhel C, Kuter DJ, DiGiovanni CW. What is the effect of venous thromboembolism and related complications on patient reported health-related quality of life? A meta-analysis. Thrombosis and Haemostasis. 2016;116:417-431.  https://doi.org/10.1160/TH16-02-0152
  6. Ignatiev IM, Akhmedzyanov RV, Volodyukhin MYu. A case of successful endovascular treatment of patients with chronic pelvic pain with recurrent varicocele. Angiology and vascular surgery. 2020;26(1):42-46.  https://doi.org/10.33529/ANGIO2020111
  7. Taha MA, Busuttil A, Bootun R, Davies AH. A systematic review of paediatric deep venous thrombolysis. Phlebology. 2019;34(3):179-190.  https://doi.org/10.1177/0268355518778660
  8. Ascher E, Chait J, Pavalonis A, Marks N, Hingorani A, Kibrik P. Fast-track thrombolysis protocol: A single-session approach for acute iliofemoral deep venous thrombosis. Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2019;7(6):773-780.  https://doi.org/10.1016/j.jvsv.2019.06.018
  9. Russian clinical guidelines for the diagnosis, treatment and prevention of venous thromboembolic complications (VTEC). Phlebology. 2015;9(4):4-52. (In Russ.).
  10. Konstantinides SV, Torbicki A, Agnelli G, Danchin N, Fitzmaurice D, Galiè N, Gibbs JS, Huisman MV, Humbert M, Kucher N, Lang I, Lankeit M, Lekakis J, Maack C, Mayer E, Meneveau N, Perrier A, Pruszczyk P, Rasmussen LH, Schindler TH, Svitil P, Vonk Noordegraaf A, Zamorano JL, Zompatori M; Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. European Heart Journal. 2014;35(43):3033-69, 3069a-3069k. https://doi.org/10.1093/eurheartj/ehu283
  11. You JJ, Singer DE, Howard PA, Lane DA, Eckman MH, Fang MC, Hylek EM, Schulman S, Go AS, Hughes M, Spencer FA, Manning WJ, Halperin JL, Lip GYH. Antithrombotic therapy for atrial fibrillation: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2 Suppl):e531S-e575S.
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  13. Sukovatykh BS, Sereditsky AV, Muradyan VF, Azarov AM, Sukovatykh MB, Lapinas AA. Regional catheter thrombolysis for late proximal deep vein thrombosis. Khirurgiya. Zhurnal im. N.I. Pirogova. 2023;(1):61-66. (In Russ.). https://doi.org/10.17116/hirurgia202301161
  14. Sukovatykh BS, Sereditsky AV, Muradyan VF, Azarov AM, Sukovatykh MB, Lapinas AA, Khachatryan AR, Khachatryan AR. Effectiveness of percutaneous mechanical thromectomy in the treatment of proximal deep vein thrombosis of the lower extremities Khirurgiya. Zhurnal im. N.I. Pirogova. 2022;(5):75-80. (In Russ.). https://doi.org/10.17116/hirurgia202205175

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