title: Diagnosis and management of iliac vein thrombosis in pregnancy resulting from May-Thurner Syndrome.
abstract: One of the least recognized risks for the development of deep venous thrombosis (DVT) is iliac vein compression or the May-Thurner Syndrome (MTS), in which most often, the right common iliac artery compresses the subjacent left common iliac vein. We present three patients with MTS complicated by massive left lower extremity DVT managed with percutaneous pharmacomechanical thrombectomy during pregnancy. Although often not considered in obstetrics, percutaneous therapies to resolve extensive thrombosis should be considered in pregnant women, as they have the potential to improve symptoms and mitigate the risk of developing post-thrombotic syndrome.
authors: Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: C C
authors: CC
authors: DeStephano
authors: 1] Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA [2] Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI, USA.
authors: E F
authors: EF
authors: Werner
authors: Division of Vascular and Interventional Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: B P
authors: BP
authors: Holly
authors: Division of Vascular and Interventional Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: M L
authors: ML
authors: Lessne
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007084:Iliac Vein / Q000601:surgery*; D062108:May-Thurner Syndrome / Q000150:complications*; D011247:Pregnancy; D017131:Thrombectomy / Q000379:methods*; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*