Progress in the diagnosis and treatment of iliac vein compression syndrome

doi:10.3877/cma.j.issn.1674-0793.2021.03.016

Abstract

Abstract:

Iliac vein compression syndrome (IVCS) is a clinical syndrome which causes lower extremity chronic venous incompetence, varicosities, the higher number of deep-vein thrombosis, and other symptoms resulting from pelvic and lower extremity venous flow obstruction caused by the compression of the iliac vein. The clinical manifestations include lower extremity swelling, superficial varicose veins, pigmentation in the foot and boot area, and venous ulcers. Traditional surgery has been replaced by intravascular surgery. Balloon dilation and stent implantation have a good clinical effect and better patency rates. This article reviews the progress of related documents in IVCS surgical diagnosis and treatment at home and abroad.

Key words: Iliac venous compression syndrome, Endovascular treatment, Patency rate

Xinyu Zhao, Shiyuan Chen. Progress in the diagnosis and treatment of iliac vein compression syndrome[J]. Chinese Archives of General Surgery(Electronic Edition), 2021, 15(03): 229-233.

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References 44

[1]	黄家麒，刘晓兵，施慧华, 等. 不同解剖类型非血栓性髂静脉压迫综合征支架植入术后的疗效观察[J/CD]. 中国血管外科杂志(电子版), 2019, 11(3): 195-198.
[2]	May R, Thurner J. The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins[J]. Angiology, 1957, 8(5): 419-427.
[3]	Cockett FB, Thomas ML. The iliac compression syndrome[J]. Br J Surg, 1965, 52(10): 816-821.
[4]	Kaltenmeier CT, Erben Y, Indes J, et al. Systematic review of May-Thurner syndrome with emphasis on gender differences[J]. J Vasc Surg Venous Lymphat Disord, 2018, 6(3): 399-407.
[5]	王翔，周斌，陈国君, 等. 血管内超声在非血栓性髂静脉受压综合征诊治中的价值[J]. 介入放射学杂志, 2018, 27(9): 822-826.
[6]	Lou WS, Gu JP, He X, et al. Endovascular treatment for iliac vein compression syndrome: a comparison between the presence and absence of secondary thrombosis[J]. Korean J Radiol, 2009, 10(2): 135-143.
[7]	Knuttinen MG, Naidu S, Oklu R, et al. May-Thurner: diagnosis and endovascular management[J]. Cardiovasc Diagn Ther, 2017, 7(Suppl 3): S159-S164.
[8]	Kibbe MR, Ujiki M, Goodwin AL, et al. Iliac vein compression in an asymptomatic patient population[J]. J Vasc Surg, 2004, 39(5): 937-943.
[9]	Cheng L, Zhao H, Zhang FX. Iliac vein compression syndrome in an asymptomatic patient population: A prospective study[J]. Chin Med J (Engl), 2017, 130(11): 1269-1275.
[10]	杨春霞，王书智，吴刚, 等. CT血管成像在诊断下肢深静脉血栓形成机械性阻塞原因中的作用[J]. 中华放射学杂志, 2015, 49(8): 610-614.
[11]	王利伟，沈莉，胡蓝月,等. 无症状型髂静脉受压状态稳定性的CT研究[J]. 中国医学计算机成像杂志, 2019, 25(4): 386-389.
[12]	Ye K, Lu X, Li W, et al. Long-term outcomes of stent placement for symptomatic nonthrombotic iliac vein compression lesions in chronic venous disease[J]. J Vasc Interv Radiol, 2012, 23(4): 497-502.
[13]	徐一丁，蔡旭升，仲斌演, 等. "一站式"治疗Cockett综合征合并下肢静脉曲张临床疗效[J]. 中国介入影像与治疗学, 2019, 16(9): 568-572.
[14]	Dzieciuchowicz Ł, Krzyżański R, Kruszyna Ł, et al. Prevalence of non-thrombotic iliac vein lesions in patients with unilateral primary varicose veins[J]. Eur J Vasc Endovasc Surg, 2016, 51(3): 429-433.
[15]	Heller T, Teichert C, Hafer J, et al. Prevalence of May-Thurner syndrome in patients with deep vein thrombosis at a large medical referral center[J]. Rofo, 2019, 191(12): 1107-1117.
[16]	Cui YF, Fu YF, Liu HT, et al. Combined catheter-directed thrombolysis and iliac vein recanalization for iliac vein compression syndrome with secondary acute deep vein thrombosis: effectiveness and long-term outcome[J]. Int Angiol, 2016, 35(1): 40-46.
[17]	Chen D, Chen F, Li MF, et al. Left iliac vein compression is not associated with infrainguinal deep venous thrombosis but is associated with iliac vein involvement[J]. J Vasc Surg Venous Lymphat Disord, 2018, 6(6): 689-695.
[18]	段葵. 双侧髂静脉超声检查在髂静脉压迫综合征中的应用价值[J]. 中外医疗, 2019, 38(22): 181-183.
[19]	Radaideh Q, Patel NM, Shammas NW. Iliac vein compression: epidemiology, diagnosis and treatment[J]. Vasc Health Risk Manag, 2019, 15: 115-122.
[20]	Hager ES, Yuo T, Tahara R, et al. Outcomes of endovascular intervention for May-Thurner syndrome[J]. J Vasc Surg Venous Lymphat Disord, 2013, 1(3): 270-275.
[21]	Saleem T, Knight A, Raju S. Diagnostic yield of intravascular ultrasound in patients with clinical signs and symptoms of lower extremity venous disease[J]. J Vasc Surg Venous Lymphat Disord, 2020, 8(4): 634-639.
[22]	McLafferty RB. The role of intravascular ultrasound in venous thromboembolism[J]. Semin Intervent Radiol, 2012, 29(1): 10-15.
[23]	Mousa AY, Broce M, Yacoub M, et al. Validation of venous duplex ultrasound imaging in determining iliac vein stenosis after standard treatment of active chronic venous ulcers[J]. J Vasc Surg Venous Lymphat Disord, 2016, 4(3): 307-312.
[24]	Lorenção de Almeida B, Rossi FH, Guerra de Moraes Rego Sousa A, et al. Correlation between venous pressure gradients and intravascular ultrasound in the diagnosis of iliac vein compression syndrome[J]. J Vasc Surg Venous Lymphat Disord, 2018, 6(4): 492-499.
[25]	Rossi FH, Kambara AM, Rodrigues TO, et al. Comparison of computed tomography venography and intravascular ultrasound in screening and classification of iliac vein obstruction in patients with chronic venous disease[J]. J Vasc Surg Venous Lymphat Disord, 2020, 8(3): 413-422.
[26]	Ou-Yang L, Lu GM. Underlying anatomy and typing diagnosis of May-Thurner syndrome and clinical significance: An observation based on CT[J]. Spine (Phila Pa 1976), 2016, 41(21): E1284-E1291.
[27]	Rossi FH, Kambara A, Pinto I, et al. Efficacy of computed tomography venography (CTV) screening compared to duplex ultrasound (DU), multiplanar venography (MV), and intravascular ultrasound (IVUS) in iliac vein compression syndrome(IVCS)[J]. J Vasc Surg Venous Lymphat Disord, 2016, 4(1): 146-147.
[28]	程健，王林友，徐晓俊, 等. CT血管成像对髂静脉支架术后位置、形态及支架内血栓的评估价值[J]. 现代实用医学, 2018, 30(6): 824-825.
[29]	Hsu YC, Huang YK, Hsu LS, et al. Using non-contrast-enhanced magnetic resonance venography for the evaluation of May-Thurner syndrome in patients with renal insufficiency: A case report[J]. Medicine (Baltimore), 2019, 98(52): e18427.
[30]	Cantwell CP, Cradock A, Bruzzi J, et al. MR venography with true fast imaging with steady-state precession for suspected lower-limb deep vein thrombosis[J]. J Vasc Interv Radiol, 2006, 17(11): 1763-1770.
[31]	McDermott S, Oliveira G, Ergül E, et al. May-Thurner syndrome: can it be diagnosed by a single MR venography study?[J]. Diagn Interv Radiol, 2013, 19(1): 44-48.
[32]	Labropoulos N, Borge M, Pierce K, et al. Criteria for defining significant central vein stenosis with duplex ultrasound[J]. J Vasc Surg, 2007, 46(1): 101-107.
[33]	温志国，杜丽苹，韩万里, 等. CT静脉造影对血栓形成后综合征及非血栓性髂静脉病变的评估价值[J].中华血管外科杂志, 2016, 1(1): 44-46.
[34]	Brener MI, Green P, Parikh SA, et al. Acute pulmonary embolism unmasking underlying chronic thromboembolic pulmonary hypertension and iliac vein compression syndrome[J]. Catheter Cardiovasc Interv, 2020, 95(3): 462-466.
[35]	Lamont JP, Pearl GJ, Patetsios P, et al. Prospective evaluation of endoluminal venous stents in the treatment of the May-Thurner syndrome[J]. Ann Vasc Surg, 2002, 16(1): 61-64.
[36]	Chevalier JM, Enon B, Moreau P, et al. Cockett’s synechiae report on 31 cases (author’s transl)[J]. J Mal Vasc, 1982, 7(2): 111-119.
[37]	Eklof B, Albrechtson U, Einarsson E, et al. The temporary art eriovenous fistula in venous reconstructive surgery[J]. Int Angiol, 1985, 4(4) :455-462.
[38]	Narese D, Bracale UM, Vitale G, et al. What the young physician should know about May-Thurner syndrome[J]. Transl Med UniSa, 2015, 12: 19-28.
[39]	张安冬，高涌，聂中林, 等. 腔内治疗髂静脉受压综合征的疗效分析[J]. 中国普通外科杂志, 2016, 25(12): 1751-1756.
[40]	Qian AM, Cai ZX, Zhang S, et al. Endovascular treatment for non-thrombotic right iliac vein compression syndrome with intravascular ultrasound[J]. Zhonghua Yi Xue Za Zhi, 2019, 99(46): 3633-3637.
[41]	Raju S. Treatment of iliac-caval outflow obstruction[J]. SeminVasc Surg, 2015, 28(1): 47-53.
[42]	李晓强，桑宏飞，戎建杰, 等. 介入治疗髂静脉狭窄或闭塞的远期效果观察[J/CD]. 中国血管外科杂志(电子版), 2010, 2(1): 20-23.
[43]	Liu G, Qin J, Cui C, et al. Comparison of direct iliofemoral stenting following angioJet rheolytic thrombectomy vs staged stenting after angiojet rheolytic thrombectomy plus catheter-directed thrombolysis in patients with acute deep vein thrombosis[J]. J Endovasc Ther, 2018, 25(1): 133-139.
[44]	Prandoni P, Lensing AW, Prins MH, et al. Below-knee elastic compression stockings to prevent the post-thrombotic syndrome: A randomized, controlled trial[J]. Ann Intern Med, 2004, 141(4): 249-256.

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