What is May-Thurner syndrome?
May-Thurner syndrome, or MTS, is the compression of Iliakal veins. This is where the left ordinary iliakal vein that carries blood from the left leg is pushed by the right common iliakal artery that gives the blood to the right leg. The pressure occurs at the point where the artery intersects the vein and causes the vein to crush against the bones of the spine. There is scarring and narrowing of the vein and symptoms of leg pain and foot pain may be seen. Sometimes people with May-Thurner syndrome can develop blood clots in their veins, a state known as a deep venous thrombosis or DVT. There may be no symptoms in mild cases. As the condition progresses, the left leg can be permanently swollen. If DVT occurs, the leg may also hurt, it seems red and feels warm and the veins may look more pronounced than usual. It is important to treat DVT because it can lead to apotentially fatal pulmonary embolism, where the clot tears and blocks blood supply to the lungs.
The diagnosis of May-Thurner syndrome generally includes the so-called venogram. The special dye visible to the X -ray is injected into the vein in the foot and travels to the common iliakal vein, where it shows the blood flow with the vein. The pressure of the flowing blood on each side of the narrow part can be measured to assess the severity of the blockade.
Mayage of May-Thurner syndrome generally involves the treatment of any associated DVT and enlargement of the narrowed vein. Medicines for breaking blood clots can be supplied directly to it through a narrow tube inserted into the vein. Once any clot has been solved, surgery can be performed as angioplasty. This includes stretching the narrowed vein by inflating a special type of inside balloon. Then a tube can be inserted from the eye
Another possible treatment include circumventing a blocked vein or moving the right iliac artery so that it no longer causes compression. Sometimes the artery is detained from a vein using a type of sling made of body tissue. ViewFor some, the May-Thurner syndrome is usually positive if the treatment is started early, before or soon after the clot is formed.