Outcomes of conservative management in patients with nutcracker syndrome.
Phlebology
; 39(6): 403-413, 2024 Jul.
Article
de En
| MEDLINE
| ID: mdl-38452734
ABSTRACT
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.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Syndrome du casse-noisette
/
Traitement conservateur
Limites:
Adult
/
Female
/
Humans
/
Male
Langue:
En
Journal:
Phlebol
/
Phlebology
Sujet du journal:
ANGIOLOGIA
Année:
2024
Type de document:
Article
Pays d'affiliation:
Turquie
Pays de publication:
Royaume-Uni