Abdominal Vascular Compression Syndromes (AVCS): Current and Future of Management of AVCS That Includes Median Arcuate Ligament, Nutcracker, Superior Mesenteric Artery, May-thurner, and Associated Pelvic Venous Insufficiency

Introduction, Objectives, and/or Purpose: Purpose of the abstract is to review current treatment options for various vascular compression syndromes, and to bring awareness of patients presenting with multiple abdominal compression syndromes especially in Ehlers-Danlos Syndrome patients. Many patients in this group spend years if not decades to find diagnosis for their symptoms. Overlapping and non-specific symptoms as well as interconnectivity of these compression syndromes need more awareness, understanding, and research.

Methods: Preliminary analysis of 250+ patients presenting with two or more vascular compression syndromes with multisystemic symptoms, diagnostic work up, misdiagnosis, unneed surgeries, and treatment modalities.

Results: Many undergo one surgery or unnecessary surgeries to find co-existing vascular compression syndromes. Ehlers-Danlos Syndrome patients has high propensity for harboring multiple vascular compression syndromes.

Conclusion(s): Comprehensive evaluation for patients presenting with multiple vascular compression syndromes is warranted in select patients especially the ones who has Ehlers-Danlos traits or syndrome. Greater awareness, understanding, and treatment strategy is essential in these patients.