My hand is raised for a question. Pick me, pick me!
You said on page 128:
...As i watched that first procedure in ferrara, i noted that they did a venogram of the left iliac vein and then catheterized the left ascending lumbar vein and did another venogram. I aske paolo what that was all about and he told me that they were looking for narrowing of the left iliac vein (a congenital narrowing called May thurner syndrome) and then were looking for hypoplasia of the lumbar veins. They also looked for narrowing of the vein of the left kidney. The light went off! That was why they entered from the left side...
And other fascinating stuff. So I looked up May-Thurner syndrome:http://my.clevelandclinic.org/disorders ... drome.aspx
The above link says:
May-Thurner syndrome (MTS) is caused when the left iliac vein is compressed by the right iliac artery, which increases the risk of deep vein thrombosis (DVT) in the left extremity. DVT is a blood clot that may partially or completely block blood flow through the vein.
Most people do not know they have MTS, but it is identified when they present with a DVT.
Patients should seek treatment for symptoms, including swelling, pain or tenderness in the leg, feeling of increased warmth in the leg, redness or discoloration of the skin, or enlargement of the veins in the leg.
Even though DVT itself is not life-threatening, the blood clot has the potential to break free and travel through the bloodstream, where it can become lodged in the blood vessels of the lung (known as a pulmonary embolism). This can be a life-threatening condition.
This is why most doctors hate it when patients look up scary stuff on the Internet, right?
I have bilateral symptoms but left has always been significantly worse than right and MRV report states that there is congenitally hypoplastic left jugular with stenosis. They didn't scan the azygos. I have spinal lesions.
So anyway, here are my questions:
1. If a patient has undiagnosed DVT due to May-Thurner, is there a risk that threading a catheter from the right could dislodge the clot?
2. I hope I don't sound dramatic but could May-Thurner be a possible cause for my swollen purple left foot (there is also swelling/edema on the right but the left is often bright reddish-purple). No pain or heat, no bulging veins. My GP dismissed it as "you're just getting old" and I said, "Them's fightin' words!" I think that's just him being lazy but I didn't say so.
Thanks for helping us understand...