CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2019; 03(03): 180-184
DOI: 10.1055/s-0039-1693630
Case Report
by Indian Society of Vascular and Interventional Radiology

A Rare Cause of May-Thurner Syndrome Postarterial Intervention

Hiok Yang Chan
1   Department of Diagnostic and Interventional Radiology, Singapore General Hospital, Singapore
Edward Tieng Chek Choke
2   Department of Vascular Surgery, Singapore General Hospital, Singapore
Tjun Yip Tang
2   Department of Vascular Surgery, Singapore General Hospital, Singapore
Chandramohan Sivanathan
1   Department of Diagnostic and Interventional Radiology, Singapore General Hospital, Singapore
Chua Ming Er Jasmine
1   Department of Diagnostic and Interventional Radiology, Singapore General Hospital, Singapore
Pradesh Kumar
1   Department of Diagnostic and Interventional Radiology, Singapore General Hospital, Singapore
› Author Affiliations
Further Information

Publication History

Received: 04 February 2019

Accepted after revision: 25 February 2019

Publication Date:
18 July 2019 (online)


May-Thurner syndrome (MTS) is rare condition thought to occur due to an anatomical variation. In MTS, there is left iliac vein compression by the right iliac artery and lumbar spine resulting in left lower limb deep venous thrombosis. The authors report a rare cause of MTS postarterial intervention. They describe the unusual case of an Asian man who presented with acute left lower limb deep venous thrombosis 5 days following left common iliac artery angioplasty and stent insertion. Computed tomographic (CT) venogram demonstrated the left iliac vein compression by the left iliac artery stent. Successful recanalization of the thrombosed iliac vein was achieved with a combination of pulse spray thrombolysis and rheolytic mechanical thrombectomy, followed by angioplasty and stent placement in the iliac vein. There was rapid and complete resolution of symptoms. This report illustrates the use of complementary imaging modalities and a multidisciplinary team approach to achieve a successful technical and clinical outcome following an unusual case of MTS postarterial intervention and the subsequent successful endovascular management.

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