장골 정맥 혈전증을 동반한 May-Thurner Syndrome의 중재적 치료

• Published in: Annals of surgical treatment and research Vol. 72; no. 3; pp. 230 - 234
• Main Authors: 김호군(Ho Goon Kim), 최수진나(Soo Jin Na Choi), 정상영(Sang Young Chung)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.03.2007
• Subjects: 일반외과학; 스텐트; May-Thurner 증후군; Stent; May-Thurner syndrome
• ISSN: 2288-6575; 2288-6796

Purpose: We wanted to evaluate the effectiveness of endovascular management for treating patients suffering with May-Thurner syndrome along with left iliac vein thrombosis. Methods: 11 patients with May-Thurner syndrome underwent treatment from January 2002 to December 2004. We evaluated the symptoms, diagnostic modalities, involved sites, treatment modalities, volume of the thrombolytic agent (urokinase), types of stent, complications and outcomes for each of the patients. Results: The 11 patients were 54±15 years old and the male to female ratio was 1：2.66. Combined endovascular management was used for all patients. They were diagnosed by radioisotope scan, computed tomographic angiography, color doppler image and conventional venography. Endovascular procedures such as stent insertion, catheter-directed thrombolysis using urokinase infusion, balloon angioplasty and aspirated thrombectomy were used as treatment modalities. We placed the stents into the involved veins in 11 patients. Technical success was achieved in 10 out of 11 patients. Ten patients experienced a successful clinical outcome without any recurrence or complication during the follow-up periods. Conclusion: Endovascular management such as stent placement is an effective method for restoring venous patency and it provides relief of the acute symptoms. (J Korean Surg Soc 2007;72:230-234) KCI Citation Count: 1