May–Thurner syndrome: an overlooked cause of venous thromboembolism

Kwok, Trevor MY

doi:10.5694/mja2.50733

Topics

To the Editor: The recent article by Akram and Sadashiv1 presents a timely and most welcome opportunity to enhance awareness, in the medical community at large, of the investigation and treatment options for proximal deep vein thrombosis (DVT) of the lower extremity.

1 Imperial College London, London, United Kingdom
2 UNSW Sydney, Sydney, NSW

Correspondence: t.kwok@imperial.ac.uk

Competing interests:

No relevant disclosures.

1. Akram F, Sadashiv RG. May–Thurner syndrome: an overlooked cause of venous thromboembolism. Med J Aust 2020; 212: 402–403. https://www.mja.com.au/journal/2020/212/9/may-thurner-syndrome-overlooked-cause-venous-thromboembolism.
2. Australasian Society for Ultrasound in Medicine. Guidelines, policies and statements: peripheral venous ultrasound. Sydney: ASUM, 2007. https://www.asum.com.au/files/public/SoP/curver/Vasc/Peripheral-Venous-Ultrasound.pdf (viewed May 2020).
3. Barry A. Sonography's role in the diagnosis of May–Thurner syndrome. J Diagn Med Sonogr 2018; 34: 65–70.
4. Comerota AJ, Kearon C, Gu CS, et al. Endovascular thrombus removal for acute iliofemoral deep vein thrombosis. Circulation 2019; 139: 1162–1173.
5. Haig Y, Enden T, Grøtta O, et al. Post‐thrombotic syndrome after catheter‐directed thrombolysis for deep vein thrombosis (CaVenT): 5‐year follow‐up results of an open‐label, randomised controlled trial. Lancet Haematol 2016; 3: e64–e71.
6. Kearon C, Akl EA, Ornelas J, et al. Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report. Chest 2016; 149: 315–352.

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