%0 Journal Article
%T Outcomes of conservative management in patients with nutcracker syndrome.
%A Sarikaya S
%A Altas O
%A Ozgur MM
%A Hancer H
%A Ozdere BA
%A Ozer T
%A Aksut M
%A Rabus MB
%A Topcu KO
%A Bas T
%A Kirali K
%J Phlebology
%V 39
%N 6
%D 2024 Jul 7
%M 38452734
%F 1.701
%R 10.1177/02683555241238772
%X <B>OBJECTIVE: </B>This study aims to evaluate outcomes in nutcracker syndrome patients with tolerable symptoms and treated conservatively without invasive interventions.<BR><B>METHODS: </B>This prospective study included patients treated conservatively. Promoting weight gain, the endpoint of the study was spontaneous resolution of symptoms.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>This study shows that a conservative approach contributes to the spontaneous improvement or complete resolution in young adult patients with mild symptoms.