Ultrasound diagnosis for endovascular treatment of May–Turner syndrome

Abstract

The experience of using ultrasound diagnostics for endovascular treatment of May-Turner syndrome is given. The purpose of the study was to evaluate the diagnostic capabilities of ultrasound examination of stents of the iliac veins in patients with varicose pelvic disease in the presence of May–Turner syndrome. Material and methods. 13 patients with May–Turner syndrome and associated pelvic varicose veins were studied. The following methods were used for instrumental diagnostics: ultrasound examination of the pelvic veins, multispiral computerized phlebography, radiopaque phlebography. Results. 10 women had pelvic enlargement. Dilation of the veins of the plexus plexus from 5 to 11 mm, uterine veins from 4 to 8 mm, and ovarian veins from 5 to 7 mm was noted. After stenting, the pelvic veins were reduced. In 9 patients, stents functioned throughout the observation period. In 1 patient, stent thrombosis was diagnosed the next day, in 1 – after 10 days. After selective catheter-driven thrombolysis and restenting, stents are passable. In 2 patients, partial stent thrombosis was diagnosed after 1 month, patients continue to be observed with parietal thrombomasses in stents. Discussion. The diagnosis of May–Turner syndrome and varicose veins of the pelvis was made in the hospital at the diagnostic stages of the study. Already 3 months after stenting, we observed a decrease in the diameter of all the pelvic veins. Endovascular stenting is the modern and most effective method for restoring iliac vein patency for patients with SMT. During ultrasound, we completely located the stents in various planes and gave a full description of their functioning, occlusion and parietal thrombosis. Conclusion . ultrasound is a non-invasive and highly effective method for the diagnosis of varicose pelvic disease in patients before and after endovascular treatment of May-Turner syndrome.