Presentation is loading. Please wait.

Presentation is loading. Please wait.

The nutcracker syndrome: Its role in the pelvic venous disorders

Published byCamilla Gilmore Modified over 5 years ago

Similar presentations

Presentation on theme: "The nutcracker syndrome: Its role in the pelvic venous disorders"— Presentation transcript:

1 The nutcracker syndrome: Its role in the pelvic venous disorders
Anke H. Scultetus, MD, J.Leonel Villavicencio, MD, FACS, David L. Gillespie, MD  Journal of Vascular Surgery  Volume 34, Issue 5, Pages (November 2001) DOI: /mva Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 Fig. 1 MRI demonstrating compression of the left renal vein between the SMA and the aorta (nutcracker syndrome). Dilatation of the left renal vein and perirenal varicosities is clearly observed. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 Fig. 2 Retrograde catheterization of left renal and gonadal veins. A, The left renal vein shows the point of compression of the SMA and a very large left gonadal vein (normal, 3-4 mm diameter). B, Nutcracker syndrome. Retrograde catheterization of the left renal vein shows mesoaortic compression (vertical arrow ), of the left renal vein and perirenal varicosities (horizontal arrow ). Obstruction of the gonadal outflow is evident. Kinking and curls of the gonadal vein are the radiographic manifestations of obstruction. Patient had left-flank pain and hematuria. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 Fig. 3 One-week postoperative MRI of ES in a case of nutcracker syndrome. Externally reinforced PTFE stent is clearly visible. Partial thrombosis of the left renal vein was observed. The patient was treated with anticoagulants. Six months later, the renal vein had recanalized and the patient's symptoms had greatly improved. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

5 Fig. 4 Human cadaver specimens. A, SMA compressing the left renal vein against the aorta. B, Lifting the SMA reveals a flattened left renal vein. This compression produced changes in the renal vein wall similar to those described in the Cockett syndrome. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Download ppt "The nutcracker syndrome: Its role in the pelvic venous disorders"

Similar presentations

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.
Subhash Thakur, MD, Anthony J. Comerota, MD, FACS, FACC, RVT 

Subhash Thakur, MD, Anthony J. Comerota, MD, FACS, FACC, RVT 
Bypass graft to the contralateral internal jugular vein for venous outflow obstruction of a functioning hemodialysis access fistula  Jeff L. Myers, MD,

Bypass graft to the contralateral internal jugular vein for venous outflow obstruction of a functioning hemodialysis access fistula  Jeff L. Myers, MD,
Yehuda G. Wolf, MD, Bradley B. Hill, MD, W

Yehuda G. Wolf, MD, Bradley B. Hill, MD, W
William B. Schroder, MD, John F. Bealer, MD 

William B. Schroder, MD, John F. Bealer, MD 
A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome  Kristin Stawiarski,

A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome  Kristin Stawiarski,
Recurrent thromboembolism in patients with vena cava filters

Recurrent thromboembolism in patients with vena cava filters
David W. Lemos, MD, Joseph D. Raffetto, MD, T

David W. Lemos, MD, Joseph D. Raffetto, MD, T
Compression and walking versus bed rest in the treatment of proximal deep venous thrombosis with low molecular weight heparin  Hugo Partsch, MDa, Werner.

Compression and walking versus bed rest in the treatment of proximal deep venous thrombosis with low molecular weight heparin  Hugo Partsch, MDa, Werner.
A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome  Kristin Stawiarski,

A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome  Kristin Stawiarski,
Paul F. Hwang, MD, Dana C. Rice, MD, Sunil V

Paul F. Hwang, MD, Dana C. Rice, MD, Sunil V
Todd M. Gerkin, MD, Hugh G. Beebe, MD, David M. Williams, MD, Jess R

Todd M. Gerkin, MD, Hugh G. Beebe, MD, David M. Williams, MD, Jess R
Relationship between changes in the deep venous system and the development of the postthrombotic syndrome after an acute episode of lower limb deep vein.

Relationship between changes in the deep venous system and the development of the postthrombotic syndrome after an acute episode of lower limb deep vein.
Michael B. Silva, MD, H. Colleen Silva, MD, Gail P

Michael B. Silva, MD, H. Colleen Silva, MD, Gail P
Facts and fiction surrounding the discovery of the venous valves

Facts and fiction surrounding the discovery of the venous valves
Left renal vein transposition for nutcracker syndrome

Left renal vein transposition for nutcracker syndrome
Thrombolysis for deep venous thrombosis

Thrombolysis for deep venous thrombosis
Xiaobai Wang, MD, Yan Zhang, MD, Chengzhi Li, MD, Hong Zhang, MD 

Xiaobai Wang, MD, Yan Zhang, MD, Chengzhi Li, MD, Hong Zhang, MD 
Endovascular management of recurrent stenosis following left renal vein transposition for the treatment of Nutcracker syndrome  Donald T. Baril, MD, Patricio.

Endovascular management of recurrent stenosis following left renal vein transposition for the treatment of Nutcracker syndrome  Donald T. Baril, MD, Patricio.
Treatment of venous malformations by direct injection with ethanol

Treatment of venous malformations by direct injection with ethanol

Similar presentations

Ads by Google