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KMID : 0364020090420050677
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 5 p.677 ~ p.683
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Surgical Venous Thrombectomy for Chronic May-Thurner Sysndrome-2 cases report-
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Lee Kil-Soo
Kim Yong-Hoon
Min Sun-Kyung
Kim Hyung-Rae
Lee Bong-Ki
Kang Seong-Sik
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Abstract
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May-Thurner syndrome is a deep vein thrombosis of the ilio-femoral vein due to compression of the left common iliac vein by the overlying right common iliac artery. Although, catheter directed thrombectomy (CDT) and thrombolysis with stent insertion has become the standard treatment method for acute or subacute May-Thurner syndrome, because of technical feasibility and lower recurrence rate, however, sometimes this methods make fatal complications. Furthermore, there are few reports on optimal treatment strategies for patients in a chronic state of May-Thurner syndrome,. We now present two cases of chronic (＞1 month since onset of symptoms) May-Thurner syndrome treated by surgical thrombectomy and femoral arteriovenous shunt with simultaneous stent insertion after failed endovascular treatment. This technique may provide a significant benefit for patients who are not suitable for conventional endovascular treatment.
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KEYWORD
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Thrombosis, Deep vein thrombosis, Stents, Thrombolysis, Surgery
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