{"id":2431,"date":"2024-10-13T16:01:14","date_gmt":"2024-10-13T16:01:14","guid":{"rendered":"https:\/\/cicve.es\/?p=2431"},"modified":"2024-10-13T16:01:14","modified_gmt":"2024-10-13T16:01:14","slug":"sindrome-de-may-thurner-causas-sintomas-y-diagnostico-de-la-compresion-de-la-vena-iliaca","status":"publish","type":"post","link":"https:\/\/cicve.es\/en\/sindrome-de-may-thurner-causas-sintomas-y-diagnostico-de-la-compresion-de-la-vena-iliaca\/","title":{"rendered":"S\u00edndrome de May-Thurner: Causas, S\u00edntomas y Diagn\u00f3stico de la compresi\u00f3n de la vena iliaca"},"content":{"rendered":"<p style=\"font-weight: 400;\">El s\u00edndrome de May-Thurner, tambi\u00e9n conocido como S\u00edndrome de Cockett o s\u00edndrome compresivo de vena il\u00edaca o denominado actualmente como lesiones no tromb\u00f3ticas de vena iliaca (siglas<a href=\"https:\/\/assets.radcliffecardiology.com\/s3fs-public\/article-pdf\/2022-06\/VER_Desai_WEB.pdf\"> NIVL<\/a> en ingl\u00e9s Non-thormbotic Iliac Vein Lesions), se caracteriza por la compresi\u00f3n de la vena iliaca com\u00fan izquierda entre la arteria iliaca com\u00fan derecha y el promontorio sacro o L5. Esta condici\u00f3n tambi\u00e9n puede ser provocada por diversas situaciones patol\u00f3gicas concomitantes, como masas (quistes ov\u00e1ricos, miomas, tumores) o dilataciones arteriales (aneurismas), que comprimen la vena.<\/p>\n<p style=\"font-weight: 400;\"><strong>Principales Alteraciones y S\u00edntomas<\/strong><\/p>\n<p style=\"font-weight: 400;\">El s\u00edndrome de May-Thurner \u00a0( El s\u00edndrome de May-Thurner es la compresi\u00f3n de la vena iliaca) conlleva tres alteraciones principales que causan s\u00edntomas significativos:<\/p>\n<ul style=\"font-weight: 400;\">\n<li><strong>Alteraci\u00f3n de la pared venosa:<\/strong>\u00a0Microtraumatismos repetitivos en la zona de compresi\u00f3n llevan a la formaci\u00f3n de fibras o trab\u00e9culas dentro de la vena.<\/li>\n<li><strong>Cambio fibr\u00f3tico:<\/strong>\u00a0La presi\u00f3n constante causa un endurecimiento importante de la pared venosa por fuera.<\/li>\n<li><strong>Alteraciones en el flujo venoso de retorno:<\/strong>\u00a0estas trab\u00e9culas y la propia compresi\u00f3n provoca enlentecimiento del flujo, congesti\u00f3n y s\u00edntomas asociados.<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>S\u00edntomas y Manifestaciones Cl\u00ednicas<\/strong><\/p>\n<p style=\"font-weight: 400;\">Los s\u00edntomas pueden evolucionar a trav\u00e9s de diversas fases:<\/p>\n<ul style=\"font-weight: 400;\">\n<li><strong>Asintom\u00e1tico inicialmente<\/strong><\/li>\n<li><strong>Edema y varices de distribuci\u00f3n at\u00edpica.<\/strong><\/li>\n<li><strong>Claudicaci\u00f3n venosa:<\/strong>\u00a0Congesti\u00f3n y dolor en la pierna con el ejercicio, alivi\u00e1ndose con el reposo.<\/li>\n<li><strong>S\u00edntomas de congesti\u00f3n p\u00e9lvica:<\/strong>\u00a0Distensi\u00f3n abdominal, molestias similares a las menstruales, dolor durante el ciclo menstrual y en las relaciones sexuales.<\/li>\n<li><strong>Trombosis venosa profunda:<\/strong>\u00a0Riesgo aumentado con inmovilizaci\u00f3n prolongada, embarazo o predisposici\u00f3n gen\u00e9tica.<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Manifestaciones Visuales y Diagn\u00f3stico<\/strong><\/p>\n<p style=\"font-weight: 400;\">Visualmente, pueden observarse piernas hinchadas, varices tronculares o localizaci\u00f3n at\u00edpica como gl\u00fateos, vulvovaginales o perineales. Puede haber pigmentaci\u00f3n aumentada y piel m\u00e1s seca y quebradiza.<\/p>\n<p style=\"font-weight: 400;\">El diagn\u00f3stico inicial se realiza t\u00edpicamente mediante ecograf\u00eda transabdominal, un m\u00e9todo no invasivo que proporciona informaci\u00f3n en tiempo real y es fundamental en la evaluaci\u00f3n realizada por cirujanos vasculares siempre en hospitales o cl\u00ednicas preparadas para ello.<\/p>\n<p style=\"font-weight: 400;\">En pr\u00f3ximas entradas, explicaremos las opciones de tratamiento disponibles para el s\u00edndrome de May-Thurner.<\/p>","protected":false},"excerpt":{"rendered":"<p>El s\u00edndrome de May-Thurner, tambi\u00e9n conocido como S\u00edndrome de Cockett o s\u00edndrome compresivo de vena il\u00edaca o denominado actualmente como lesiones no tromb\u00f3ticas de vena iliaca<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":2432,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[56,57,58,59,60,19,61,62],"class_list":["post-2431","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cicve","tag-claudicacion-venosa","tag-compresion-vena-iliaca","tag-ecografia-vascular","tag-sindrome-de-cockett","tag-sindrome-de-may-thurner","tag-tratamiento-de-embolias","tag-tratamiento-vascular","tag-trombosis-venosa-profunda"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - 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