Outcomes of conservative management in patients with nutcracker syndrome
Phlebology, cilt.39, sa.6, ss.403-413, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 39 Sayı: 6
- Basım Tarihi: 2024
- Doi Numarası: 10.1177/02683555241238772
- Dergi Adı: Phlebology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.403-413
- Anahtar Kelimeler: Nutcracker syndrome, nutcracker phenomenon, vascular compression syndrome, left renal vein entrapment, pelvic congestion syndrome
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: This study aims to evaluate outcomes in nutcracker syndrome patients with tolerable symptoms and treated conservatively without invasive interventions. Methods: This prospective study included patients treated conservatively. Promoting weight gain, the endpoint of the study was spontaneous resolution of symptoms. Results: Sixteen patients (75% female and mean age 24.4 ± 3.5 years) underwent conservative management. Over a mean follow-up of 27.3 months [13–42, interquartile range (IQR)], the diameter ratio (5.5 [5–6.5, IQR] vs 4.3 [4.1–6], p = NS), the peak velocity ratio (6 [5–7, IQR] vs 4.8 [4.8–5.8], p = NS), beak angle (27° [24–30, IQR] vs 29° [24–32]; p = NS), and aortomesenteric angle (26° [23–29, IQR] vs 28° [24–30]; p = NS) exhibited no statistically significant changes. Complete resolution and improvement of symptoms were 28.5% and 31.4%, respectively, while 68.5% remained unchanged. Conclusions: This study shows that a conservative approach contributes to the spontaneous improvement or complete resolution in young adult patients with mild symptoms.