Gustavo S. Oderich, MD, FACS

Complex Aortic & Endovascular Surgery

Venous & Vascular Conditions

Intra-abdominal Venous Disease (Nutcracker & May-Thurner)

Relieving compressed abdominal and pelvic veins.

Overview

What it is

Some patients have veins in the abdomen or pelvis that are compressed — such as the left renal vein (Nutcracker syndrome) or the iliac vein (May-Thurner syndrome). Diagnosis and treatment, often with minimally invasive stenting, can relieve symptoms.

When it’s recommended

  • Symptomatic vein compression confirmed on imaging
  • Pelvic congestion, leg swelling, or related symptoms
  • Anatomy suited to stenting or reconstruction

How it’s performed

Every plan is individualized and reviewed by our multidisciplinary aortic team.

Dedicated venous imaging and pressure assessment

Minimally invasive stenting of the compressed vein

Symptom and flow improvement confirmed

Follow-up to ensure durable relief

Recovery

Recovery & follow-up

Most stenting procedures involve a short recovery, with follow-up to confirm the vein stays open.

Why the Baylor Medicine Center for Aortic Surgery

Complex aortic care is safest in experienced hands. Dr. Oderich and the Center bring more than 7,000 open and endovascular aortic repairs of experience, advanced imaging, and a multidisciplinary team to every case.

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