What You Should Know About May-Thurner Syndrome

May-Thurner Syndrome (MTS) is a vascular condition where the left iliac vein is compressed by the overlying right iliac artery, leading to an increased risk of deep vein thrombosis (DVT). If left untreated, MTS can cause significant discomfort, swelling, and in severe cases, chronic venous insufficiency. At RIA Endovascular, we specialize in diagnosing and treating May-Thurner Syndrome with minimally invasive, state-of-the-art procedures.

Symptoms and Diagnosis

Patients with May-Thurner Syndrome may experience symptoms such as:

• Leg pain, particularly on the left side
• Swelling in the leg
• Varicose veins
• Skin discoloration
• Leg heaviness or fatigue

Treatment Options

1. Endovascular Stenting One of the most effective treatments for May-Thurner Syndrome is endovascular stenting. During this minimally invasive procedure, a small catheter is inserted into the vein, usually through a small incision in the groin. A stent is then placed in the compressed section of the vein to hold it open and restore normal blood flow. This procedure typically requires only local anesthesia and has a quick recovery time.

2. Angioplasty In some cases, angioplasty is performed along with stenting. A small balloon is inflated within the vein to widen it, improving blood flow. After angioplasty, a stent may be placed to maintain the vein's patency. This combined approach can effectively relieve symptoms and prevent the recurrence of blood clots.

3. Catheter-Directed Thrombolysis If MTS has led to the formation of a DVT, catheter-directed thrombolysis may be recommended. This procedure involves threading a catheter through the blood vessel to the site of the clot. A clot-dissolving medication is then delivered directly to the clot, which helps to break it down and restore blood flow. This method can be especially beneficial in acute cases where the clot is large or causing significant symptoms.

4. Mechanical Thrombectomy In cases where thrombolysis is not suitable, mechanical thrombectomy may be used. This technique involves using specialized devices to physically remove the clot from the vein. It's a quick and effective method for clearing blockages and can be used in conjunction with stenting to provide long-term relief.

5. Conservative Management For patients with mild symptoms or those not suited for invasive procedures, conservative management may be an option. This includes wearing compression stockings, elevating the legs, and taking blood-thinning medications to reduce the risk of clot formation. However, this approach may not address the underlying compression, so it's often combined with other treatments.

Why Choose RIA Endovascular?

RIA Endovascular is dedicated to providing comprehensive, patient-centered care for vascular conditions like May-Thurner Syndrome. Our team of specialists is experienced in performing advanced, minimally invasive treatments that offer quick recovery times and effective symptom relief. We use the latest imaging and intervention techniques to ensure accurate diagnosis and optimal outcomes for our patients.

If you or someone you know is experiencing symptoms of May-Thurner Syndrome, our team is here to help. Schedule a consultation to learn more about your treatment options and take the first step toward better vascular health.