May-Thurner Syndrome (MTS) is an underdiagnosed vascular condition that affects the iliac vein in the pelvis, restricting blood flow from the left leg to the heart. This condition increases the risk of deep vein thrombosis (DVT)and can cause leg swelling, pain, and long-term venous insufficiency if left untreated.
At Vascular Surgery Associates, our board-certified vascular specialists in Los Angeles and Santa Monica offer venous stenting as a cutting-edge treatment for May-Thurner Syndrome, helping patients restore healthy circulation and reduce the risk of complications.
Understanding May-Thurner Syndrome and Its Impact
May-Thurner Syndrome occurs when the right iliac artery compresses the left iliac vein, restricting venous blood flow. This can lead to chronic swelling, pain, and the development of dangerous blood clots.
Symptoms of May-Thurner Syndrome
Many people with MTS do not experience symptoms until a DVT or venous insufficiency develops. Common signs include:
- Unexplained swelling in the left leg
- Pain, heaviness, or aching in the leg
- Skin discoloration or leg ulcers in severe cases
- A history of deep vein thrombosis (DVT)
- Visible varicose veins in the pelvic or upper thigh region
Studies suggest that May-Thurner Syndrome may contribute to up to 20% of deep vein thrombosis cases affecting the left leg, making early diagnosis crucial.
How Venous Stenting Restores Circulation
Venous stenting is a minimally invasive procedure designed to open the compressed vein and restore normal blood flow.
The Procedure
- A catheter is inserted into the iliac vein through a small puncture in the groin.
- A contrast dye is injected, and real-time X-ray imaging (venography) is used to pinpoint the compression.
- A self-expanding metal stent is placed within the vein, restoring normal blood flow.
- The procedure is completed in under an hour, and patients typically go home the same day.
Once the vein is held open by the stent, blood flows freely from the leg back to the heart, reducing swelling, pain, and clotting risk.
Who is a Candidate for Venous Stenting?
Venous stenting is recommended for patients with:
- May-Thurner Syndrome confirmed by imaging tests
- Chronic leg swelling or pain due to iliac vein compression
- A history of deep vein thrombosis (DVT) in the left leg
- Non-healing leg ulcers related to poor venous circulation
At Vascular Surgery Associates, our specialists perform a comprehensive evaluation, including ultrasound and venography, to determine if venous stenting is the best treatment option.
Benefits of Venous Stenting for May-Thurner Syndrome
Venous stenting is a highly effective, minimally invasive treatment that provides:
Improved circulation
Restores normal blood flow in the iliac vein
Immediate symptom relief
Reduces swelling, pain, and heaviness
Minimally invasive approach
No open surgery, no large incisions
Quick recovery time
Most patients resume normal activities in 24-48 hours
Lower risk of future DVTs
Prevents clot formation and long-term complications
Unlike long-term blood thinner use, venous stenting directly corrects the root cause of May-Thurner Syndrome, making it a superior long-term solution.
What to Expect Before, During, and After the Procedure
Before Treatment
- A comprehensive vein evaluation, including ultrasound and venography, is performed.
- Patients may need to temporarily stop certain medications, such as blood thinners.
During the Procedure
- A local anesthetic is applied, and a small catheter is inserted into the vein.
- A stent is carefully placed, opening the vein and restoring circulation.
- The procedure takes 30-60 minutes, and patients can walk immediately after.
After the Procedure
- Patients return home the same day with minimal discomfort.
- Compression stockings may be recommended for a short time to support healing.
- Follow-up imaging ensures the stent remains in place and functioning properly.
Frequently Asked Questions About Venous Stenting
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Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Take Control of Your Vein Health – Book a Consultation Today
If you are experiencing chronic leg swelling, pain, or a history of DVT, venous stenting can provide lasting relief and restore healthy circulation. At Vascular Surgery Associates, our leading vein specialists in Los Angeles and Santa Monica offer state-of-the-art treatments for May-Thurner Syndrome with proven success.
Contact us today to schedule your consultation and take the first step toward better vein health and improved circulation.