Minimally invasive treatments for venous compression syndromes

Cardiovasc Diagn Ther. 2016 Dec;6(6):582-592. doi: 10.21037/cdt.2016.10.01.


The management of venous compression syndromes has historically been reliant on surgical treatment when conservative measures fail. There are, however, several settings in which endovascular therapy can play a significant role as an adjunct or even a replacement to more invasive surgical methods. We explore the role of minimally invasive treatment options for three of the most well-studied venous compression syndromes. The clinical aspects and pathophysiology of Paget-Schroetter syndrome (PSS), nutcracker syndrome, and May-Thurner syndrome are discussed in detail, with particular emphasis on the role that interventionalists can play in minimally invasive treatment.

Keywords: Endovascular procedures; May-Thurner syndrome; renal nutcracker syndrome; thrombolytic therapy; upper extremity deep vein thrombosis (UEDVT).

Publication types

  • Review