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Symptomatic ileofemoral DVT after onset of oral contraceptive use in women with previously undiagnosed May-Thurner Syndrome  Erin H. Murphy, MD, Charles.

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Presentation on theme: "Symptomatic ileofemoral DVT after onset of oral contraceptive use in women with previously undiagnosed May-Thurner Syndrome  Erin H. Murphy, MD, Charles."— Presentation transcript:

1 Symptomatic ileofemoral DVT after onset of oral contraceptive use in women with previously undiagnosed May-Thurner Syndrome  Erin H. Murphy, MD, Charles M. Davis, BS, Janna M. Journeycake, MD, R. Patrick DeMuth, ThM, RVT, Frank R. Arko, MD  Journal of Vascular Surgery  Volume 49, Issue 3, Pages (March 2009) DOI: /j.jvs Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Ultrasound findings on preoperative evaluation can give insight into underlying iliac vein compression. The first image (A) demonstrates compression of the left common iliac vein (LCIV-no color) at the level of the right common iliac artery (RCIA-blue). The right common iliac vein (RCIV-blue below) and left common iliac artery (LCIA-yellow) are also seen in this image. The second image (B) is a long axis gray scale image of the compressed LCIV to the left of the image at the level of crossing by the RCIA and the normal size vein distally to the right. Image (C) demonstrates increased velocities near the site of compression with continuous flow during normal respiration. Image (D) shows continuous flow and lack of response to distal compression. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Preoperative (A) and postoperative (B) images of 16-year-old female with May-Thurner syndrome and left-sided iliofemoropopliteal deep vein thrombosis. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Postoperative Duplex ultrasound image demonstrating relief of venous obstruction, widely patent iliac vein, and phasic venous flow. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

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