3 hours of netting to prevent blood clots from flowing from the legs to the lungs saved the girl's life

(Dan Tri) - Doctors have just saved the life of a female patient with the rare vascular syndrome May - Thurner (MTS), when a blood clot spread and threatened her life while she was suffering from an acute brain hemorrhage.

At Thanh Nhan Hospital, doctors have just discovered and successfully treated a rare vascular syndrome: May - Thurner Syndrome (MTS), a rare but extremely dangerous cause of lower limb venous thrombosis.

A female patient, over 30 years old, with a history of mental retardation, was admitted to the hospital with headache and nausea. A CT scan of the brain showed a right thalamic hemorrhage spreading to the cerebral ventricles.

During treatment, the patient suddenly developed purple edema and tension in the left leg. Doppler ultrasound showed that the thrombosis spread from the superficial venous system to the femoral vein and left iliac vein.

The patient was treated at Thanh Nhan Hospital (Photo: Provided by the hospital).

If not treated promptly, blood clots can travel to the lungs causing pulmonary embolism, which is life-threatening.

However, the use of anticoagulants could not be performed because the patient was in the acute stage of cerebral hemorrhage, a "dilemma" in treatment.

After an interdisciplinary consultation between Neurosurgery - Cardiology - Diagnostic Imaging, the doctors determined that this was May - Thurner syndrome, a rare malformation in which the right iliac artery compresses the left iliac vein, narrowing the lumen, creating conditions for blood clots to form.

The interventional team decided to place an inferior vena cava filter (IVC filter) through the contralateral femoral vein to prevent the thrombus from moving to the lungs.

Next, the doctors used a CAT8 suction tube to remove most of the blood clot in the left femoral-iliac vein, then dilated the balloon and placed a stent to resolve the narrowing.

The patient was monitored at the Department of Neurosurgery. After only 48 hours, the patient's left leg had significantly reduced swelling, was no longer tense, and the cerebral hemorrhage was well controlled thanks to the smooth coordination between the specialties.

MSc. Dr. Hoang Ngoc Tan, Deputy Head of the Department of Neurosurgery, the patient's main treating physician, shared: "The most valuable thing in this case is the smooth coordination between the specialties. If not detected and treated promptly, the blood clot can move to the lungs causing embolism, endangering life.

Thanks to the support of the vascular intervention team, we were able to control the blood clot and stabilize the brain hemorrhage. The patient is currently recovering well."

According to MSc. Dr. Nguyen Duy Thinh - Head of Vascular Intervention Unit, Department of Diagnostic Imaging, this is a rare vascular syndrome, accounting for less than 3% of cases of lower extremity venous thrombosis.

Source: https://dantri.com.vn/suc-khoe/3-gio-giang-luoi-ngan-mau-dong-troi-tu-chan-len-phoi-giu-mang-co-gai-20251111075447465.htm