MTS: Understanding Core Problems and Solutions for a Complex Venous Disease
Innovative technology and approaches in medicine eases the suffering of those who are ill. Deep venous thrombosis affects thousands of Americans today. Some are diagnosed with a rare condition known as May-Thurner Syndrome (MTS), involving compression of the left iliac vein by the right common iliac artery. The mechanical compression of the vein against the vertebral bone leads to the symptoms and medical problems.
What are the issues that beset a person with iliac vein compression syndrome? How are the symptoms managed for optimal outcomes and improvement in the quality of life?
What you can do about it?
Doctors and surgeons are still facing numerous challenges in the management of MTS, mostly because of the multifaceted nature of the syndrome. Standards have been developed for diagnosis, but a definitive treatment program is still in the works. At this time, the primary treatment of choice is endovascular management. The approach may involve venous stenting, when conditions call for it. To be effective May-Thurner syndrome treatment must deal with the underlying causes of the patient’s clinical presentation.
What are the hallmarks of iliac vein compression syndrome?
The risk for developing MTS is high in women in their 20s-40s who have been subjected to prolonged immobilization. The primary symptoms are pain and edema of one lower extremity, which is usually the left. The condition is chronic, and in time, skin changes become evident, including pigmentation and dermal ulcers. The pain and swelling persist.
The disease could easily progress from stage one to three, from asymptomatic MTS to deep vein thrombosis (iliac vein). The progression of the disease is directly associated with the vascular changes to the affected vein. The compression leads to microscopic changes that develop into spurs and eventually lead to partial blockage of the flow of blood and development of clots. Evidence of compression of the vein is evident upon radiological testing.
MTS or iliocaval compression syndrome is a complex medical condition that requires sound medical management. Before stenting or any surgical option is identified as a treatment option, the medical team usually implements conservative management.