Successful endovascular treatment of iliac vein compression (May-Thurner) syndrome in a pediatric patient


Oguzkurt L., Tercan F., Sener M.

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, vol.29, no.3, pp.446-449, 2006 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 3
  • Publication Date: 2006
  • Doi Number: 10.1007/s00270-004-0247-6
  • Title of Journal : CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • Page Numbers: pp.446-449

Abstract

A 10-year-old boy presented to our clinic with left lower extremity swelling present for 1 year with deterioration of symptoms during the prior month. Laboratory investigation for deep vein thrombosis was negative. Venography and computed tomography scan of the pelvis showed compression of the left common iliac vein by the right common iliac artery. A diagnosis of iliac vein compression syndrome was made. After venography, endovascular treatment was planned. The stenosis did not respond to balloon dilatation and a 12 mm Wallstent was placed with successful outcome. The patient's symptoms improved but did not resolve completely, probably due to a chronically occluded left superficial femoral vein that did not respond to endovascular recanalization. To the best of our knowledge, this is the first case of successful endovascular treatment of iliac vein compression syndrome with stent placement in a pediatric patient.