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Emergency Medical Minute


Apr 28, 2017

Author: Samuel Killian M.D.

Educational Pearls:

  • Lower extremity DVTs are extremely common. There are more left lower extremity DVT due to anatomical variation.
  • May-Thurner Syndrome is a form of anatomical variation in which the left iliac artery compresses the left iliac vein.
  • Anticoagulation may not be sufficient to treat those with May-Thurner syndrome - endovascular stenting may be needed
  • Patients with with recurrent LLE DVT, especially those in whom anticoagulation fails, should be referred to a specialist.

References: Peters M, Syed RK, Katz M, et al. May-Thurner syndrome: a not so uncommon cause of a common condition. Proceedings (Baylor University Medical Center). 2012;25(3):231-233.