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- W4387429949 abstract "The anatomic compression of the left renal vein (LRV) in the angle between the aorta and the superior mesenteric artery (SMA) can be asymptomatic or may result in symptoms including flank pain, hematuria, or pelvic pain and/or congestion. Patients may be referred to a vascular surgeon due to symptoms and/or radiologic findings. Because symptoms of nutcracker syndrome (NCS) may be vague or non-diagnostic, careful evaluation, assessment, and counseling with patients are required before undertaking intervention, which is often an open surgical procedure. Definitive diagnosis is ideally confirmed with diagnostic venogram including pressure measurements from the LRV and the inferior vena cava (IVC). The optimal treatment includes open decompression of the left renal veins with renal vein transposition or gonadal vein transposition, with or without concomitant management of pelvic varicosities if symptomatic. Since most NCS patients are young, long-term follow-up with scheduled ultrasounds should be maintained." @default.
- W4387429949 created "2023-10-08" @default.
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- W4387429949 date "2023-10-01" @default.
- W4387429949 modified "2023-10-09" @default.
- W4387429949 title "How I Treat Nutcracker Syndrome" @default.
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- W4387429949 doi "https://doi.org/10.1016/j.jvscit.2023.101344" @default.
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