PRIMARY MAY-THURNER SYNDROME, CLINICAL AND ENDOVASCULAR SURGICAL RESULTS. OUR EXPERIENCE.
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.140 |
Resumo: | Objective: To evaluate the experience on endovascular treatment of primary May-Thurner Syndrome (MTS) Introduction: Primary May-Thurner Syndrome, results from the compression of the left common iliac vein by the right common iliac artery and the 5fth vertebral body. Methods and material: Retrospective analysis based on the clinical and imagiological records related to 21 patients diagnosed with non complicated May-Thurner Syndrome who underwent endovascular surgical treatment. The SPSS statistic 21 IBM was used to do a uni and bivariated descriptive analysis as so as the realization of the hypothesis test. Results: The mean age was 44 years old, and 90% were female,with two peaks of incidence: one during the third decade of life, and the other during the fifth and sixth decades. The most common symptom was left inferior limb edema (85%), the mean time between the beginning of the symptoms and the diagnosis was 5,05 years and the treatment was primary stenting in 90,5% of the cases. With a mean follow-up of 54,43 months, the primary patency was 85,7% and the primary assisted patency was 100%. All patients submitted to angioplasty alone necessitate a stenting posteriorly. On the sixteen patients that were classified by the Venous Clinical Severity Score (VCSS), it was shown a statistically significant improvement on the post-operatory scores related to pain, the left inferior limb edema and the global score. There was a significant correlation between the time between the beginning of symptoms and diagnosis ,and the post-operatory edema score. Discussion/Conclusion: An assisted primary patency of 100% was observed according to the published literature. The delayed diagnosis of the MTS may correspond to the lack of clinical knowledge and was associated with poor results. |
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PRIMARY MAY-THURNER SYNDROME, CLINICAL AND ENDOVASCULAR SURGICAL RESULTS. OUR EXPERIENCE.SÍNDROME DE MAY-THURNER PRIMÁRIO, RESULTADOS CLÍNICOS E SEU TRATAMENTO ENDOVASCULAR. A NOSSA EXPERIENCIA.May-Thurner SyndromeCockett SyndromeNon Thrombotic Iliac Vein Obstruction Syndromeiliocaval stentingSíndrome de May-ThurnerSíndrome de CockettSíndrome obstrutivo não trombótico da veia iliacastenting ílio-cavaObjective: To evaluate the experience on endovascular treatment of primary May-Thurner Syndrome (MTS) Introduction: Primary May-Thurner Syndrome, results from the compression of the left common iliac vein by the right common iliac artery and the 5fth vertebral body. Methods and material: Retrospective analysis based on the clinical and imagiological records related to 21 patients diagnosed with non complicated May-Thurner Syndrome who underwent endovascular surgical treatment. The SPSS statistic 21 IBM was used to do a uni and bivariated descriptive analysis as so as the realization of the hypothesis test. Results: The mean age was 44 years old, and 90% were female,with two peaks of incidence: one during the third decade of life, and the other during the fifth and sixth decades. The most common symptom was left inferior limb edema (85%), the mean time between the beginning of the symptoms and the diagnosis was 5,05 years and the treatment was primary stenting in 90,5% of the cases. With a mean follow-up of 54,43 months, the primary patency was 85,7% and the primary assisted patency was 100%. All patients submitted to angioplasty alone necessitate a stenting posteriorly. On the sixteen patients that were classified by the Venous Clinical Severity Score (VCSS), it was shown a statistically significant improvement on the post-operatory scores related to pain, the left inferior limb edema and the global score. There was a significant correlation between the time between the beginning of symptoms and diagnosis ,and the post-operatory edema score. Discussion/Conclusion: An assisted primary patency of 100% was observed according to the published literature. The delayed diagnosis of the MTS may correspond to the lack of clinical knowledge and was associated with poor results.Objetivo: Avaliar a nossa experiencia no tratamento cirúrgico endovascular da Síndrome de May-Thurner primaria (SMT). Introdução: A Síndrome de May-Thurner resulta da compressão da veia ilíaca comum esquerda pela artéria ilíaca comum direita contra o corpo vertebral da quinta vértebra lombar. Material e Métodos: Analise retrospectiva baseada nos registos clínicos e imagiológicas relativos a vinte e um doentes diagnosticados com a SMT primaria submetidos a tratamento cirúrgico endovascular . Foi usado o programa SPSS statistic 21 IBM para proceder à análise uni e bivariada bem como a realização do teste de hipóteses. Resultados: A idade média da população foi 44 anos com dois picos de incidência, um na terceira década de vida e outro na quinta e sexta décadas de vida , com 90% dos doente do sexo feminino. O sintoma mais comum foi o edema do membro inferior esquerdo (85%), o tempo médio entre o inicio dos sintomas e o diagnostico foi 5,05 anos, e o tratamento foi o stenting primário em 90,5% dos casos, não tendo havido complicações per ou pós operatórias . Com um follow-up médio de 54,43 meses a patência primaria foi de 85,7% e a patência primaria assistida foi de 100%. Todos os casos em que foi realizada uma ATL simples necessitaram de re-intervenção com implantação posterior de stent. Foi possível avaliar dezasseis doentes aplicando o Venous Clinical Severity Score, tendo sido observado uma melhoria com significado estatístico nos scores pós operatórios relacionados com a dor ,com o edema do membro inferior esquerdo, e com o score global. Observou-se também uma correlação positiva e significativa entre o intervalo de tempo entre o inicio dos sintomas e o diagnóstico, e a variação do score de edema pós operatório. Discussão/Conclusão: Observamos uma patência primaria assistida de 100% no tratamento endovascular do SMT primário, com uma taxa de complicações de 0%, reflectindo a eficácia e baixa agressividade do tratamento endovascular. O atraso no diagnóstico observado pode ser o resultado do desconhecimento clínico da síndrome e a dificuldade do seu diagnóstico , e foi associado a um pior resultado terapêutico .Sociedade Portuguesa de Angiologia e Cirurgia Vascular2018-12-02T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.140oai:ojs.acvjournal.com:article/140Angiologia e Cirurgia Vascular; Vol. 14 No. 1 (2018): March; 19-33Angiologia e Cirurgia Vascular; Vol. 14 N.º 1 (2018): Março; 19-332183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://acvjournal.com/index.php/acv/article/view/140https://doi.org/10.48750/acv.140http://acvjournal.com/index.php/acv/article/view/140/78Copyright (c) 2018 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessMachado, MiguelMachado, RuiMendes, DanielAlmeida, Rui2022-05-23T15:10:02Zoai:ojs.acvjournal.com:article/140Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T14:57:32.199921Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
PRIMARY MAY-THURNER SYNDROME, CLINICAL AND ENDOVASCULAR SURGICAL RESULTS. OUR EXPERIENCE. SÍNDROME DE MAY-THURNER PRIMÁRIO, RESULTADOS CLÍNICOS E SEU TRATAMENTO ENDOVASCULAR. A NOSSA EXPERIENCIA. |
title |
PRIMARY MAY-THURNER SYNDROME, CLINICAL AND ENDOVASCULAR SURGICAL RESULTS. OUR EXPERIENCE. |
spellingShingle |
PRIMARY MAY-THURNER SYNDROME, CLINICAL AND ENDOVASCULAR SURGICAL RESULTS. OUR EXPERIENCE. Machado, Miguel May-Thurner Syndrome Cockett Syndrome Non Thrombotic Iliac Vein Obstruction Syndrome iliocaval stenting Síndrome de May-Thurner Síndrome de Cockett Síndrome obstrutivo não trombótico da veia iliaca stenting ílio-cava |
title_short |
PRIMARY MAY-THURNER SYNDROME, CLINICAL AND ENDOVASCULAR SURGICAL RESULTS. OUR EXPERIENCE. |
title_full |
PRIMARY MAY-THURNER SYNDROME, CLINICAL AND ENDOVASCULAR SURGICAL RESULTS. OUR EXPERIENCE. |
title_fullStr |
PRIMARY MAY-THURNER SYNDROME, CLINICAL AND ENDOVASCULAR SURGICAL RESULTS. OUR EXPERIENCE. |
title_full_unstemmed |
PRIMARY MAY-THURNER SYNDROME, CLINICAL AND ENDOVASCULAR SURGICAL RESULTS. OUR EXPERIENCE. |
title_sort |
PRIMARY MAY-THURNER SYNDROME, CLINICAL AND ENDOVASCULAR SURGICAL RESULTS. OUR EXPERIENCE. |
author |
Machado, Miguel |
author_facet |
Machado, Miguel Machado, Rui Mendes, Daniel Almeida, Rui |
author_role |
author |
author2 |
Machado, Rui Mendes, Daniel Almeida, Rui |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Machado, Miguel Machado, Rui Mendes, Daniel Almeida, Rui |
dc.subject.por.fl_str_mv |
May-Thurner Syndrome Cockett Syndrome Non Thrombotic Iliac Vein Obstruction Syndrome iliocaval stenting Síndrome de May-Thurner Síndrome de Cockett Síndrome obstrutivo não trombótico da veia iliaca stenting ílio-cava |
topic |
May-Thurner Syndrome Cockett Syndrome Non Thrombotic Iliac Vein Obstruction Syndrome iliocaval stenting Síndrome de May-Thurner Síndrome de Cockett Síndrome obstrutivo não trombótico da veia iliaca stenting ílio-cava |
description |
Objective: To evaluate the experience on endovascular treatment of primary May-Thurner Syndrome (MTS) Introduction: Primary May-Thurner Syndrome, results from the compression of the left common iliac vein by the right common iliac artery and the 5fth vertebral body. Methods and material: Retrospective analysis based on the clinical and imagiological records related to 21 patients diagnosed with non complicated May-Thurner Syndrome who underwent endovascular surgical treatment. The SPSS statistic 21 IBM was used to do a uni and bivariated descriptive analysis as so as the realization of the hypothesis test. Results: The mean age was 44 years old, and 90% were female,with two peaks of incidence: one during the third decade of life, and the other during the fifth and sixth decades. The most common symptom was left inferior limb edema (85%), the mean time between the beginning of the symptoms and the diagnosis was 5,05 years and the treatment was primary stenting in 90,5% of the cases. With a mean follow-up of 54,43 months, the primary patency was 85,7% and the primary assisted patency was 100%. All patients submitted to angioplasty alone necessitate a stenting posteriorly. On the sixteen patients that were classified by the Venous Clinical Severity Score (VCSS), it was shown a statistically significant improvement on the post-operatory scores related to pain, the left inferior limb edema and the global score. There was a significant correlation between the time between the beginning of symptoms and diagnosis ,and the post-operatory edema score. Discussion/Conclusion: An assisted primary patency of 100% was observed according to the published literature. The delayed diagnosis of the MTS may correspond to the lack of clinical knowledge and was associated with poor results. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-02T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.140 oai:ojs.acvjournal.com:article/140 |
url |
https://doi.org/10.48750/acv.140 |
identifier_str_mv |
oai:ojs.acvjournal.com:article/140 |
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por |
language |
por |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/140 https://doi.org/10.48750/acv.140 http://acvjournal.com/index.php/acv/article/view/140/78 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 14 No. 1 (2018): March; 19-33 Angiologia e Cirurgia Vascular; Vol. 14 N.º 1 (2018): Março; 19-33 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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