May-Thurner 증후군 환자의 주술기 관리 = Perioperative Management for the Patient with May-Thurner Syndrome

다국어 초록 (Multilingual Abstract)

May-Thurner syndrome is an anatomic variant in which the left common iliac vein is compressed by the right common iliac artery. The most frequent clinical presentation is deep vein thrombosis of the left lower extremity. We report the perioperative management in a patient with May-Thurner syndrome undergoing an open reduction of a tibia fracture. The patient developed deep vein thrombosis of the left lower extremity and had an endovascular stent placed approximately 1 year earlier. An important aspect of the perioperative management in a patient with May-Thurner syndrome is to prevent deep vein thrombosis. We monitored the activated clotting time during the intraoperative period.

참고문헌 (Reference)

1 Bowers J, "Use of the activated clotting time in anticoagulation monitoring of intravascular procedues" 20 : 258-263, 1993

2 Burke RM, "Unusual case of right-sided May-Thurner syndrome and review of its management" 14 : 47-50, 2006

3 Cockett FB, "The iliac compression syndrome" 52 : 816-821, 1965

4 May R, "The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins" 8 : 419-427, 1957

5 Owens EL, "Spinal subarachnoid hematoma after lumbar puncture and heparinization: a case re-port, review of the literature, and discussion of anesthetic implications" 65 : 1201-1207, 1986

6 Juhan CM, "Riviere CS:Late results of iliofemoral venous thrombectomy" 25 : 417-422, 1997

7 Raffini L, "May-Thurner syndrome (iliac vein compression) and thrombosis in adolescents" 47 : 834-838, 2006

8 Mickley V, "Left iliac venous thrombosis caused by venous spur: treatment with thrombectomy and stent implantation" 28 : 492-497, 1998

9 Aoki H, "In vivo and in vitro studies of the inhibitory effect of propofol on human platelet aggregation" 88 : 362-370, 1998

10 Taheri SA, "Iliocaval compression syndrome" 154 : 169-172, 1987

11 Kibbe MR, "Iliac vein compression in an asymptomatic patient population" 39 : 937-943, 2004

12 Mizobe T, "Hematological effects of anaesthetics and anaesthesia" 12 : 437-441, 1999

13 Kim HG, "Endovascular management on a May-Thurner syndrome patients with iliac vein thrombosis" 72 : 230-234, 2007

14 O'Sullivan GJ, "Endovascular management of iliac vein compression (May-Thurner) syndrome" 11 : 823-836, 2000

15 Patel NH, "Endovascular management of acute extensive iliofemoral deep venous thrombosis caused by May-Thurner syndrome" 11 : 1297-1302, 2000

16 Weinmann EE, "Deep-vein thrombosis" 331 : 1630-1641, 1994

17 Cil BE, "Case 76,May-Thurner syndrome" 233 : 361-365, 2004

18 Stoelting RK, "Anesthesia and co-existing disease" Churchill-Livingstone Inc 169-172, 2002

19 Ralph CJ, "Anaethestic management of parturients with the antiphospholipid syndrome: a review of 27 cases" 8 : 249-252, 1999

20 Mabry CD, "Activated clotting time (ACT) monitoring of intraoperative heparinization in peripheral vascular surgery" 138 : 894-900, 1979