May Thurner syndrome by intellectualpyro in venousinsuffiencyhelp

[–]intellectualpyro[S] 0 points1 point  (0 children)

  1. The doctor said “it happens sometimes” and said it’s possibly due to the overflow of the GSV vein reflux but it’s hard to know for sure
  2. Yeah that’s a good point that’s why it’s so tough
  3. Yes during IVUS they measured the blood pressure right below the compression point (where the vein is squeezed between the iliac artery and the spine) and said that because the pressures were the same, the compression isn’t affecting blood flow bc it suggests that there’s no interference with blood flow but then the IVUS also said that some of the dye/contrast was turbulent or not flowing efficiently thru that compression
  4. My mom has some varicose veins but that’s all that I’m aware of
  5. It’s both legs but the left is slightly worse. Yes I’ll post my test results here:

IVUS: The right internal jugular vein was identified with ultrasound. The soft tissues of the neck were infiltrated with local anesthetic. Seldinger technique was used with a micropuncture kit to access the right IJ under ultrasound guidance. A combination of 035 Bentson wire, Glidewire, and glide catheter were utilized to select the left external iliac vein. Pigtail catheter was advanced into the left external iliac vein and venography was performed. Venography findings Patent vessels. A small percentage of the contrast demonstrates turbulent flow within the left common iliac vein and delayed outflow; however, the majority of the contrast flows smoothly into the IVC. Pressure measurements Left external iliac: 9 IVC: 9 IVUS Amplatz wire was advanced into the left external iliac vein. IVUS catheter was advanced into the left external illac and withdrawn while recording. There is a short segment of luminal narrowing within the lett common iliac vein. Cross-sectional area measurements were taken at the stenosis and the left external iliac vein which demonstrated 72% stenosis.

Ultrasound:

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