May–Thurner syndrome: an overlooked cause of venous thromboembolism

Trevor MY Kwok
Med J Aust 2020; 213 (5): . || doi: 10.5694/mja2.50733
Published online: 7 September 2020

To the Editor: The recent article by Akram and Sadashiv1 presents a timely and most welcome opportunity to enhance awareness, in the medical community at large, of the investigation and treatment options for proximal deep vein thrombosis (DVT) of the lower extremity.

  • 1 Imperial College London, London, United Kingdom
  • 2 UNSW Sydney, Sydney, NSW


Competing interests:

No relevant disclosures.

  • 1. Akram F, Sadashiv RG. May–Thurner syndrome: an overlooked cause of venous thromboembolism. Med J Aust 2020; 212: 402–403.
  • 2. Australasian Society for Ultrasound in Medicine. Guidelines, policies and statements: peripheral venous ultrasound. Sydney: ASUM, 2007. (viewed May 2020).
  • 3. Barry A. Sonography's role in the diagnosis of May–Thurner syndrome. J Diagn Med Sonogr 2018; 34: 65–70.
  • 4. Comerota AJ, Kearon C, Gu CS, et al. Endovascular thrombus removal for acute iliofemoral deep vein thrombosis. Circulation 2019; 139: 1162–1173.
  • 5. Haig Y, Enden T, Grøtta O, et al. Post‐thrombotic syndrome after catheter‐directed thrombolysis for deep vein thrombosis (CaVenT): 5‐year follow‐up results of an open‐label, randomised controlled trial. Lancet Haematol 2016; 3: e64–e71.
  • 6. Kearon C, Akl EA, Ornelas J, et al. Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report. Chest 2016; 149: 315–352.


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