May-Thurner Syndrome (MTS), also called iliac vein compression syndrome, is a medical condition in which pressure accumulates in the blood vessel situated in the pelvic section, specifically the left iliac vein, due to compression of the right iliac artery. With severe compression, clots will form due to improper blood flow in the vein. The clots will cut loose from the vein in time and may lead to serious health risks, and sometimes death.
When to Go to the Doctor
Veniti.com says most May-Thurner syndrome patients don’t actually know that are afflicted with MTS until such time that they experience deep vein thrombosis or DVT. But, if you experience vein enlargement in your legs, discoloration, redness, or hardened skin patches, warmth, heaviness, pain, tenderness, and swelling in your legs, it’s best to seek help from your doctor immediately.
While DVT isn’t really fatal, the clot can potentially cut loose and travel via the bloodstream, which can then become stuck in your lung’s blood vessel. This is called pulmonary embolism and this is a potentially life-threatening medical condition. Untreated DVT can also result in further complications in your legs, such as post thrombotic syndrome, also called chronic venous insufficiency link syndrome.
Treatment Options for MTS
MTS is commonly treated by alleviating risks and symptoms related to deep vein thrombosis. The most typical course of treatment involves the administration of blood thinners or anticoagulants.
Thrombolysis may also be recommended by your doctor to get rid of the blood clot. This procedure uses a catheter that will be inserted into your vein, along with medication to dissolve the clot. A more recent method is pharmacomechanical thrombolysis which involves a combination of a device and medication to dissolve blood clots. The device mechanically dissolves the clot so the remnants can be easily suctioned out.
Oftentimes, more aggressive forms of treatment may also be advised after undergoing thrombolysis. Commonly, a hard tube or stent will be inserted in your vein at the compression site. The stent will be able to help keep your vein open in spite of the pressure surrounding it. Angioplasty is also recommended in some cases.
Nevertheless, the aim of treating May-Thurner syndrome is to alleviate symptoms and lower your complications risks. Only your doctor can recommend the best treatment specific to your condition.