Also known as the Iliac Vein Compression Syndrome, May Thurner syndrome (MTS) occurs when your right iliac artery compresses the left iliac vein. This, in turn, increases the possibility of developing a blood clot that could hinder blood flow in the iliac vein completely or partially.
May Thurner Syndrome Symptoms
It is hard to diagnose the syndrome, and many people come to learn about it when the deep vein thrombosis (blood clot) kicks in. The blood clot will result in:
- Swelling, tenderness or pain in the leg
- Increased warm feeling in the leg
- Enlarged leg veins
- Redness or discoloration of leg skin
Your Treatment Options
MTS treatment focuses on reducing the symptoms and curbing the risk of related complications like heart conditions when the blood clot makes its way to the heart. Consequently, the treatment options will focus on destroying the blood clot. They include:
- Anticoagulation: Blood thinning medication that reduces your blood’s ability to clot
- Catheter-directed thrombolytic therapy: A non-surgical approach that uses clot-dissolving agents (thrombolytics) to break up the clot. The medication is introduced into the vein near the clot using long slender tubes or hypoderms.
- Angioplasty and stenting: A procedure that follows blood clot break up. A catheter in the vein is inflated to stretch the vein open while a stent (a small metal mesh tube) is inserted to hold the vein open and encourage blood flow.
- Vena cava filters: These are used on patients who cannot use blood-thinning medication. This approach won’t treat MTS but will prevent the blood clot from entering the lungs by screening it out as it goes through the vena cava.
While the May Thurner syndrome might not be life threatening in itself, the resulting blood clot could lead to a wide range of complications. The clot might make its way to blood vessels in the lungs, leading to life-threatening pulmonary embolism.