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Cardiovasc Diagn Ther. 2016 Dec;6(6):519-532. doi: 10.21037/cdt.2016.11.19.

Imaging of venous compression syndromes.

Cardiovascular diagnosis and therapy

Evan J Zucker, Suvranu Ganguli, Brian B Ghoshhajra, Rajiv Gupta, Anand M Prabhakar

Affiliations

  1. Division of Cardiovascular Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA;; Department of Radiology, Stanford University School of Medicine, Stanford, CA 94305, USA.
  2. Division of Interventional Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
  3. Division of Cardiovascular Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
  4. Division of Cardiovascular Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA;; Division of Neuroradiology, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

PMID: 28123973 PMCID: PMC5220205 DOI: 10.21037/cdt.2016.11.19

Abstract

Venous compression syndromes are a unique group of disorders characterized by anatomical extrinsic venous compression, typically in young and otherwise healthy individuals. While uncommon, they may cause serious complications including pain, swelling, deep venous thrombosis (DVT), pulmonary embolism, and post-thrombotic syndrome. The major disease entities are May-Thurner syndrome (MTS), variant iliac vein compression syndrome (IVCS), venous thoracic outlet syndrome (VTOS)/Paget-Schroetter syndrome, nutcracker syndrome (NCS), and popliteal venous compression (PVC). In this article, we review the key clinical features, multimodality imaging findings, and treatment options of these disorders. Emphasis is placed on the growing role of noninvasive imaging options such as magnetic resonance venography (MRV) in facilitating early and accurate diagnosis and tailored intervention.

Keywords: May-Thurner syndrome (MTS); Venous compression; magnetic resonance venography (MRV); nutcracker syndrome (NCS); thoracic outlet syndrome (TOS)

Conflict of interest statement

The authors have no conflicts of interest to declare.

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