kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2021-10-1-89-96kpccz-819Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОРANALYTICAL REVIEWСиндром Мэя - Тернера: современные методы диагностики и леченияMay-Thurner syndrome: modern methods of diagnosis and treatmenthttps://orcid.org/0000-0002-3957-3688ГительзонД. Г.GitelsonD. G.

Гительзон Даниил Георгиевич - аспирант кафедры госпитальной хирургии с курсом детской хирургии медицинского института РУДН; врач по рентгенэндоваскулярным диагностике и лечению, врач - сердечно-сосудистый хирург НМИЦ гематологии МЗ РФ.ул. Миклухо-Маклая, 6, Москва, 117198; Новый Зыковский проезд, 4, Москва, 125167.

Gitelson Daniel G. - M.D., a Ph.D. student at the Surgical Department, Medical Institute, Peoples' Friendship University of Russia; an interventional cardiologist, cardiovascular surgeon at the National Hematology Research Center.6, Miklukho-Maklaya St., Moscow, 117198; 4, Noviy Zykovskii Dr., Moscow, 125167.

danielgitelson@gmail.comhttps://orcid.org/0000-0001-7998-3051ФайбушевичА. Г.FaibushevichA. G.

Файбушевич Александр Георгиевич - кандидат медицинских наук, заведующий кафедрой госпитальной хирургии с курсом детской хирургии медицинского института.ул. Миклухо-Маклая, 6, Москва, 117198.

Faibushevich Alexander G. - M.D., Ph.D., the Head of the Surgical Department, Medical Institute, Peoples' Friendship University of Russia.6, Miklukho-Maklaya St., Moscow, 117198.

https://orcid.org/0000-0002-3593-436XМаксимкинД. А.MaximkinD. A.

Максимкин Даниил Александрович - кандидат медицинских наук, доцент кафедры госпитальной хирургии с курсом детской хирургии медицинского института.ул. Миклухо-Маклая, 6, Москва, 117198.

Maximkin Daniel A. - M.D., Ph.D., Associate Professor at the Surgical Department, Medical Institute, Peoples' Friendship University of Russia.6, Miklukho-Maklaya St., Moscow, 117198.

https://orcid.org/0000-0001-9179-8174ВеретникГ. И.VeretnikG. I.

Веретник Галина Ивановна - кандидат медицинских наук, заведующая учебной частью кафедры госпитальной хирургии с курсом детской хирургии медицинского института.ул. Миклухо-Маклая, 6, Москва, 117198.

Veretnik Galina I. - M.D., Ph.D., Curriculum Director of the Surgical Department, Medical Institute, Peoples' Friendship University of Russia.6, Miklukho-Maklaya St., Moscow, 117198.

https://orcid.org/0000-0002-0932-6061БарановичВ. Ю.BaranovichV. Yu.

Баранович Владислав Юрьевич - кандидат медицинских наук, доцент кафедры госпитальной хирургии с курсом детской хирургии медицинского института.ул. Миклухо-Маклая, 6, Москва, 117198.

Baranovich Vladislav Yu. - M.D., Ph.D., Associate Professor at the Surgical Department, Medical Institute, Peoples' Friendship University of Russia.6, Miklukho-Maklaya St., Moscow, 117198.

https://orcid.org/0000-0003-3871-5530ГительзонЕ. А.GitelzonE. A.

Гительзон Екатерина Александровна - аспирант кафедры госпитальной хирургии с курсом детской хирургии медицинского института.ул. Миклухо-Маклая, 6, Москва, 117198.

Gitelzon Ekaterina A. - M.D., a Ph.D. student at the Surgical Department, Medical Institute, Peoples' Friendship University of Russia.6, Miklukho-Maklaya St., Moscow, 117198.

https://orcid.org/0000-0002-9522-6437АстаховМ. Н.AstahovM. N.

Астахов Максим Николаевич - врач по рентгенэндо-васкулярным диагностике и лечению.ул. Фрунзе, 1, Жуковский, 140180.

Astahov Maxim N. - M.D., an interventional cardiologist at the Zhukovskiy City Clinical Hospital.1, Frunze St., Zhukovskiy, 140180.

https://orcid.org/0000-0002-7750-4069ИзвековМ. П.IzvekovM. P.

Извеков Михаил Павлович - врач по рентгенэндоваску-лярным диагностике и лечению.ул. Фрунзе, 1, Жуковский, 140180.

Izvekov Michael P. - M.D., an interventional cardiologist at the Zhukovskiy City Clinical Hospital.1, Frunze St., Zhukovskiy, 140180.

https://orcid.org/0000-0001-6550-1939ВасильевА. Э.VasilievA. E.

Васильев Александр Эдуардович - кандидат медицинских наук, врач по рентгенэндоваскулярным диагностике и лечению.Новый Зыковский проезд, 4, Москва, 125167.

Vasiliev Alexander E. - M.D., Ph.D., an interventional cardiologist at the National Hematology Research Center.4, Noviy Zykovskii Dr., Moscow, 125167.

ДанишянК. И.DanishianK. I.

Данишян Карен Исмаилович - доктор медицинских наук, заведующий отделением хирургии.Новый Зыковский проезд, 4, Москва, 125167.

Danishian Karen I. - M.D., Ph.D., the Head of the Surgical Department, National Hematology Research Center.4, Noviy Zykovskii Dr., Moscow, 125167.

Российский университет дружбы народов; Национальный медицинский исследовательский центр гематологии Министерства здравоохранения Российской ФедерацииРоссияPeoples' Friendship University of Russia; National Research Center for HematologyRussian FederationРоссийский университет дружбы народовРоссияPeoples' Friendship University of RussiaRussian FederationЖуковская городская клиническая больницаРоссияZhukovskiy City Clinical HospitalRussian FederationНациональный медицинский исследовательский центр гематологии Министерства здравоохранения Российской ФедерацииРоссияNational Research Center for HematologyRussian Federation2021240320211018996Copyright © Гительзон Д.Г., Файбушевич А.Г., Максимкин Д.А., Веретник Г.И., Баранович В.Ю., Гительзон Е.А., Астахов М.Н., Извеков М.П., Васильев А.Э., Данишян К.И., 20212021Гительзон Д.Г., Файбушевич А.Г., Максимкин Д.А., Веретник Г.И., Баранович В.Ю., Гительзон Е.А., Астахов М.Н., Извеков М.П., Васильев А.Э., Данишян К.И.Gitelson D.G., Faibushevich A.G., Maximkin D.A., Veretnik G.I., Baranovich V.Y., Gitelzon E.A., Astahov M.N., Izvekov M.P., Vasiliev A.E., Danishian K.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/819

Синдром Мэя - Тернера (СМТ) является симптомокомплексом, который возникает при сдавлении левой общей подвздошной вены между поясничным отделом позвоночника и правой общей подвздошной артерией. Компрессия левой общей подвздошной вены распространена в общей популяции (24%), однако клинические проявления наступают у значительно меньшего количества пациентов. Заподозрить данный синдром следует при необъяснимом отеке левой нижней конечности, так как классическое ультразвуковое дуплексное сканирование не обладает необходимыми чувствительностью и специфичностью при исследовании подвздошных вен и нижней полой вены. Внутрисосудистое ультразвуковое исследование (ВСУЗИ) является наиболее точным методом диагностики, однако компьютерная томографическая и магнитно-резонансная ангиографии с высоким качеством изображения представляют эффективную альтернативу инвазивному ВСУЗИ. Основным методом лечения СМТ является стентирование левой общей подвздошной вены на фоне приема медикаментозной терапии, включающей антитромбо-тическую (антикоагулянтную и антиагрегантную) терапию в комбинации с флеботонизирующими препаратами. Цель данного обзора состоит в описании современных методов диагностики и лечения синдрома Мэя - Тернера.

May-Turner syndrome is a condition where the left common iliac vein is compressed between the lumbar spine and the overlying right common iliac artery. Left iliac vein compression is common (up to 24%) in the general population, but clinical manifestations occur in a few patients. This syndrome should be considered in case of unexplained edema of the left lower extremity since routine duplex ultrasound does not possess optimal sensitivity and specificity in the study of the iliac veins and the inferior vena cava. Intravascular ultrasound is the most accurate diagnostic method. However, the advent of computed tomography angiography and magnetic resonance angiography providing high-quality images of the vasculature have become a promising alternative to invasive intravascular ultrasound. Treatment for May-Turner syndrome usually involves stenting of the left common iliac vein along with medical therapy, including antithrombotic (anticoagulant and antiplatelet) therapy combined with phlebotonics. Our review reports modern methods of diagnosis and treatment of May-Turner syndrome.

Синдром Мэя - ТернераСтентирование подвздошных венДиагностикаЛечениеMay-Thurner syndromeIliac vein stentingDiagnosisTreatmentАвторы выражают благодарность всем сотрудникам отделения хирургии ФГБУ «НМИЦ гематологии» Минздрава России, кафедры госпитальной хирургии с курсом детской хирургии МИ РУДН и отделения рентгенохирургических методов диагностики и лечения ГБУЗ МО «Жуковская ГКБ», способствовавшим проведению данного обзора.ReferencesMay R., Thurner J. The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology. 1957; 8: 419-427.May R., Thurner J. The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology. 1957; 8: 419-427.Cockett F.B, Thomas M.L. The Iliac Compression Syndrome. Br J Surg. 1965;52(10):816-21. doi: 10.1002/bjs.1800521028.Cockett F.B, Thomas M.L. The Iliac Compression Syndrome. 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The authors declare that there are no conflicts of interest present.