Intravascular ultrasound in the diagnosis and treatment of iliac vein compression (May-Thurner) syndrome.
Intravascular ultrasound (IVUS) imaging and venography of the left common femoral and iliac veins were performed in 16 patients. The studies were evaluated for the anatomic cause of obstruction and how IVUS influenced endovascular management. IVUS demonstrated the cause of vessel compression in all 16 patients. Other findings, such as associated thrombus and guide wire localization within the residual vessel lumen, can modify the approach to intervention in as many as 50% of patients. IVUS is a useful adjunct in the diagnosis and endovascular management of iliac vein compression syndrome.
Forauer
Andrew R
AR
Department of Radiology, Section of Vascular/Interventional Radiology, University of Michigan Medical Center, B1D 530, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0030, USA. forauer@umich.edu
Gemmete
Joseph J
JJ
Dasika
Narasimham L
NL
Cho
Kyung J
KJ
Williams
David M
DM
D000293:Adolescent; D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005268:Femoral Vein / Q000000981:diagnostic imaging; D005471:Fluoroscopy; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000473:pathology; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000473:pathology*; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional