{"id":1456,"date":"2026-03-07T11:53:12","date_gmt":"2026-03-07T11:53:12","guid":{"rendered":"https:\/\/dr-seban-chirurgien-vasculaire.com\/cockett-syndrome\/"},"modified":"2026-04-14T14:07:50","modified_gmt":"2026-04-14T14:07:50","slug":"cockett-syndrome","status":"publish","type":"page","link":"https:\/\/dr-seban-chirurgien-vasculaire.com\/en\/cockett-syndrome\/","title":{"rendered":"Cockett syndrome"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; admin_label=&#8221;Header&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#eae4da&#8221; custom_padding_tablet=&#8221;0px||0px||false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row make_equal=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; module_class=&#8221;reverse&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding_tablet=&#8221;||0px||false|false&#8221; custom_padding_phone=&#8221;||0px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||||||&#8221; header_font_size=&#8221;52px&#8221; header_line_height=&#8221;1.2em&#8221; custom_margin=&#8221;||||false|false&#8221; text_font_size_tablet=&#8221;16px&#8221; text_font_size_phone=&#8221;14px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;35px&#8221; header_font_size_phone=&#8221;32px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; header_line_height_tablet=&#8221;&#8221; header_line_height_phone=&#8221;1.4em&#8221; header_line_height_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Cockett syndrome: understanding, diagnosing and treating pelvic venous compression<\/h1>\n<p><b>Cockett syndrome<\/b> <span style=\"font-weight: 400;\">,<\/span> <span style=\"font-weight: 400;\">also known as<\/span> <span style=\"font-weight: 400;\">May<\/span> <b>-Thurner syndrome<\/b> <i><span style=\"font-weight: 400;\">,<\/span><\/i> <span style=\"font-weight: 400;\">is a venous pathology caused by<\/span> <b>compression of the left iliac vein<\/b> <span style=\"font-weight: 400;\">by the right iliac artery.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\">This compression disrupts the return of blood to the heart and causes<\/span> <b>poor venous circulation<\/b> <span style=\"font-weight: 400;\">, often leading to<\/span> <b>recurrent varicose veins<\/b> <span style=\"font-weight: 400;\">or<\/span> <b>phlebitis<\/b> <span style=\"font-weight: 400;\">, and especially to pelvic congestion syndrome of obstructive origin. In advanced cases, the kidneys can be affected.<\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Dr.<\/span> <b>Guilhem Seban<\/b> <span style=\"font-weight: 400;\">,<\/span> <b>a vascular surgeon<\/b> <span style=\"font-weight: 400;\">in<\/span> <b>Annecy<\/b> <span style=\"font-weight: 400;\">,<\/span> <b>Annemasse<\/b> <span style=\"font-weight: 400;\">and<\/span> <b>Geneva<\/b> <span style=\"font-weight: 400;\">, specializes in the<\/span> <b>diagnosis and treatment<\/b> <span style=\"font-weight: 400;\">of this condition using<\/span> <span style=\"font-weight: 400;\">minimally invasive<\/span> <b>endovascular techniques<\/b> .<\/p>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;https:\/\/dr-seban-chirurgien-vasculaire.com\/en\/contact\/&#8221; button_text=&#8221;Learn more&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;15px&#8221; button_bg_color=&#8221;#5382b6&#8243; button_border_color=&#8221;rgba(0,0,0,0)&#8221; button_border_radius=&#8221;0px&#8221; button_letter_spacing=&#8221;2px&#8221; button_font=&#8221;|700||on|||||&#8221; button_icon=&#8221;&#x35;||divi||400&#8243; background_layout=&#8221;dark&#8221; custom_padding=&#8221;15px|40px|15px|40px|true|true&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding_tablet=&#8221;0px||0px||false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row make_equal=&#8221;on&#8221; module_class=&#8221;middle&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; module_class=&#8221;margbtm20&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_font_size=&#8221;48px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font=&#8221;|700|||||||&#8221; header_3_font_size=&#8221;40px&#8221; header_3_line_height=&#8221;1.2em&#8221; background_enable_image=&#8221;off&#8221; background_size=&#8221;contain&#8221; background_position=&#8221;center_left&#8221; custom_margin=&#8221;||||false|false&#8221; custom_margin_tablet=&#8221;||10px||false|false&#8221; custom_margin_phone=&#8221;||10px||false|false&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;|||0px|true|false&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; header_2_font_size_tablet=&#8221;30px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|tablet&#8221; header_2_line_height_tablet=&#8221;1.4em&#8221; header_2_line_height_phone=&#8221;1.5em&#8221; header_2_line_height_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>What is Cockett syndrome?<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Nutcracker syndrome is a compression of the left renal vein by the aorta and superior mesenteric artery. Venous return is hindered by this compression and the dilation of the poorly draining veins causes the symptoms. There may be repercussions on the kidney.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">This syndrome occurs preferentially in women and can manifest as the equivalent of pelvic congestion syndrome with pelvic pain or pain localized to the left flank, hematuria and proteinuria.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Angio-CT scan is a good examination to confirm the diagnosis.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Before proposing treatment, several consultations are necessary to assess the discomfort, the impact on daily life, and any possible kidney manifestations.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sometimes gaining weight in very thin subjects can improve or eliminate clinical signs by reducing compression of the renal vein.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Historical treatments are surgical (transposition and release of the renal vein) but it appears that the placement of stents in the renal vein gives excellent results in several publications without the risks of surgery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When possible, we favour endovascular treatments for left renal vein compression syndrome.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Associated pelvic varicose veins can be treated at the same time by embolization.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=&#8221;on|tablet&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding_tablet=&#8221;0px||||false|false&#8221; custom_padding_phone=&#8221;0px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_button button_url=&#8221;https:\/\/www.ejves.com\/article\/S1078-5884(17)30126-0\/fulltext&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;Learn more&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;15px&#8221; button_bg_color=&#8221;#5382b6&#8243; button_border_color=&#8221;rgba(0,0,0,0)&#8221; button_border_radius=&#8221;0px&#8221; button_letter_spacing=&#8221;2px&#8221; button_font=&#8221;|700||on|||||&#8221; button_icon=&#8221;&#x35;||divi||400&#8243; background_layout=&#8221;dark&#8221; custom_padding=&#8221;15px|40px|15px|40px|true|true&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#fcfcfc&#8221; custom_padding_tablet=&#8221;0px||0px||false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; disabled=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; make_equal=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; module_class=&#8221;reverse middle&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding_tablet=&#8221;0px||0px||false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding_tablet=&#8221;20px||||false|false&#8221; custom_padding_phone=&#8221;20px||||false|false&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_font_size=&#8221;48px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font=&#8221;|700|||||||&#8221; header_3_font_size=&#8221;40px&#8221; header_3_line_height=&#8221;1.2em&#8221; background_enable_image=&#8221;off&#8221; background_size=&#8221;contain&#8221; background_position=&#8221;center_left&#8221; custom_margin=&#8221;||||false|false&#8221; custom_margin_tablet=&#8221;||10px||false|false&#8221; custom_margin_phone=&#8221;||10px||false|false&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;||||true|false&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; header_2_font_size_tablet=&#8221;30px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|tablet&#8221; header_2_line_height_tablet=&#8221;1.4em&#8221; header_2_line_height_phone=&#8221;1.5em&#8221; header_2_line_height_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Is Cockett syndrome hereditary?<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><b>Cockett syndrome is not a hereditary disease in the strict sense<\/b> <span style=\"font-weight: 400;\">,<\/span> <span style=\"font-weight: 400;\">but there is often a<\/span> <b>familial predisposition<\/b> <span style=\"font-weight: 400;\">to venous disorders:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">weakness of the vein walls,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">anatomical anomalies,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">family history of<\/span> <b>varicose veins<\/b> <span style=\"font-weight: 400;\">or<\/span> <b>phlebitis<\/b> <span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A personalized assessment helps to identify this sensitivity and<\/span> <b>prevent recurrences<\/b> <span style=\"font-weight: 400;\">in at-risk patients.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/dr-seban-chirurgien-vasculaire.com\/wp-content\/uploads\/2026\/03\/doctolib-pic-eight.webp&#8221; title_text=&#8221;doctolib-pic-eight&#8221; align=&#8221;right&#8221; admin_label=&#8221;Image&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_enable_image=&#8221;off&#8221; custom_margin=&#8221;||||false|false&#8221; custom_margin_tablet=&#8221;|||0px|false|false&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding_tablet=&#8221;0px||0px||false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row make_equal=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; module_class=&#8221;middle&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding_tablet=&#8221;0px||||false|false&#8221; custom_padding_phone=&#8221;0px||||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_font_size=&#8221;48px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font=&#8221;|700|||||||&#8221; header_3_font_size=&#8221;40px&#8221; header_3_line_height=&#8221;1.2em&#8221; background_enable_image=&#8221;off&#8221; background_size=&#8221;contain&#8221; background_position=&#8221;center_left&#8221; custom_margin=&#8221;||||false|false&#8221; custom_margin_tablet=&#8221;||10px||false|false&#8221; custom_margin_phone=&#8221;||10px||false|false&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;||||true|false&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; header_2_font_size_tablet=&#8221;30px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|tablet&#8221; header_2_line_height_tablet=&#8221;1.4em&#8221; header_2_line_height_phone=&#8221;1.5em&#8221; header_2_line_height_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Symptoms of Cockett syndrome<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">The symptoms are often<\/span> <b>unilateral<\/b> <span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Heavy and swollen legs<\/b> <span style=\"font-weight: 400;\">;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal pain described as heaviness, more often on the left side<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Recurrent varicose veins<\/b> <span style=\"font-weight: 400;\">on the left leg;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>A feeling of tension or heat<\/b> <span style=\"font-weight: 400;\">;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Recurrent phlebitis<\/b> <span style=\"font-weight: 400;\">without apparent cause.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In advanced stages, we sometimes observe:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Skin hyperpigmentation<\/b> <span style=\"font-weight: 400;\">,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Venous ulcers<\/b> <span style=\"font-weight: 400;\">,<\/span><\/li>\n<\/ul>\n<p><b>Visible asymmetry<\/b> <span style=\"font-weight: 400;\">between the two legs.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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header_2_font_size=&#8221;48px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font=&#8221;|700|||||||&#8221; header_3_font_size=&#8221;40px&#8221; header_3_line_height=&#8221;1.2em&#8221; background_enable_image=&#8221;off&#8221; background_size=&#8221;contain&#8221; background_position=&#8221;center_left&#8221; custom_margin=&#8221;||||false|false&#8221; custom_margin_tablet=&#8221;||10px||false|false&#8221; custom_margin_phone=&#8221;||10px||false|false&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;||||true|false&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; header_2_font_size_tablet=&#8221;30px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|tablet&#8221; header_2_line_height_tablet=&#8221;1.4em&#8221; header_2_line_height_phone=&#8221;1.5em&#8221; header_2_line_height_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Diagnosis of Cockett syndrome<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">The<\/span> <b>diagnosis<\/b> <span style=\"font-weight: 400;\">is based on several specialized imaging examinations:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Venous Doppler ultrasound<\/b> <span style=\"font-weight: 400;\">: the first step to assess circulation and detect reflux.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Phlebography or venous scan<\/b> <span style=\"font-weight: 400;\">: allows precise visualization of the compression of the iliac vein.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Venous MRI<\/b> <span style=\"font-weight: 400;\">(pelvic MRI): the reference examination to confirm the diagnosis.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Dr. Seban works with specialized imaging centers for a<\/span> <b>rapid and accurate diagnosis<\/b> <span style=\"font-weight: 400;\">of this often underestimated pathology.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;https:\/\/dr-seban-chirurgien-vasculaire.com\/en\/contact\/&#8221; button_text=&#8221;Learn more&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;15px&#8221; button_bg_color=&#8221;#5382b6&#8243; button_border_color=&#8221;rgba(0,0,0,0)&#8221; button_border_radius=&#8221;0px&#8221; button_letter_spacing=&#8221;2px&#8221; button_font=&#8221;|700||on|||||&#8221; button_icon=&#8221;&#x35;||divi||400&#8243; background_layout=&#8221;dark&#8221; custom_padding=&#8221;15px|40px|15px|40px|true|true&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; custom_padding_tablet=&#8221;0px||0px||false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row custom_padding_last_edited=&#8221;on|tablet&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding_tablet=&#8221;0px||0px||false|false&#8221; custom_padding_phone=&#8221;0px||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_font_size=&#8221;48px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font=&#8221;|700|||||||&#8221; header_3_font_size=&#8221;30px&#8221; header_3_line_height=&#8221;1.2em&#8221; background_image=&#8221;https:\/\/dr-seban-chirurgien-vasculaire.com\/wp-content\/uploads\/2026\/03\/acupuncture-carree.webp&#8221; background_size=&#8221;contain&#8221; background_position=&#8221;center_left&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;30px|37px|30px|37px|true|false&#8221; custom_padding_tablet=&#8221;|||30px|true|false&#8221; custom_padding_phone=&#8221;|||30px|true|false&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; header_2_font_size_tablet=&#8221;30px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|tablet&#8221; header_2_line_height_tablet=&#8221;1.4em&#8221; header_2_line_height_phone=&#8221;1.5em&#8221; header_2_line_height_last_edited=&#8221;on|tablet&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Treatment of Cockett syndrome<br \/>\n<\/span><\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]Treatment depends on the severity of the compression and the symptoms observed.[\/et_pb_text][et_pb_toggle title=&#8221;Medical treatment&#8221; open_toggle_text_color=&#8221;#000000&#8243; open_toggle_background_color=&#8221;RGBA(255,255,255,0)&#8221; closed_toggle_background_color=&#8221;RGBA(255,255,255,0)&#8221; icon_color=&#8221;#000000&#8243; open_icon_color=&#8221;#000000&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; title_text_color=&#8221;#000000&#8243; title_level=&#8221;h3&#8243; title_font=&#8221;|700|||||||&#8221; title_line_height=&#8221;1.2em&#8221; custom_margin=&#8221;|0px|||false|false&#8221; custom_padding=&#8221;|0px|||false|false&#8221; title_font_size_tablet=&#8221;&#8221; title_font_size_phone=&#8221;20px&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; border_width_all=&#8221;0px&#8221; border_width_bottom=&#8221;1px&#8221; border_color_bottom=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span>In moderate forms:<\/span><\/p>\n<ul>\n<li aria-level=\"1\"><b>Wearing compression stockings<\/b> <span>to promote venous return;<\/span><\/li>\n<li aria-level=\"1\"><span>Regular<\/span> <b>Doppler monitoring<\/b> ;<\/li>\n<\/ul>\n<p><b>Anticoagulant treatment<\/b> <span>in case of associated phlebitis.<\/span><\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;Endovascular treatment&#8221; open_toggle_text_color=&#8221;#000000&#8243; open_toggle_background_color=&#8221;RGBA(255,255,255,0)&#8221; closed_toggle_background_color=&#8221;RGBA(255,255,255,0)&#8221; icon_color=&#8221;#000000&#8243; open_icon_color=&#8221;#000000&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; title_text_color=&#8221;#000000&#8243; title_level=&#8221;h3&#8243; title_font=&#8221;|700|||||||&#8221; title_line_height=&#8221;1.2em&#8221; custom_margin=&#8221;|0px|||false|false&#8221; custom_padding=&#8221;|0px|||false|false&#8221; title_font_size_tablet=&#8221;&#8221; title_font_size_phone=&#8221;20px&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; border_width_all=&#8221;0px&#8221; border_width_bottom=&#8221;1px&#8221; border_color_bottom=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span>When the compression is marked, the treatment consists of<\/span> <b>reopening the compressed iliac vein<\/b> <span>using a minimally invasive approach.<\/span><\/p>\n<h4><b>Steps of the intervention:<\/b><\/h4>\n<ol>\n<li aria-level=\"1\"><span>Introduction of a<\/span> <b>catheter<\/b> <span>into the femoral vein under local anesthesia;<\/span><\/li>\n<li aria-level=\"1\"><b>Dilation<\/b> <span>of the vein using a balloon;<\/span><\/li>\n<li aria-level=\"1\"><span>Placement of a<\/span> <b>venous stent<\/b> <span>(small metallic prosthesis) to keep the vein open and restore normal circulation.<\/span><\/li>\n<\/ol>\n<p><span>This procedure, performed under radiological control, is<\/span> <b>painless<\/b> <span>and allows for an<\/span> <b>immediate resumption of activities<\/b> <span>.<\/span><\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;Post-operative follow-up&#8221; open_toggle_text_color=&#8221;#000000&#8243; open_toggle_background_color=&#8221;RGBA(255,255,255,0)&#8221; closed_toggle_background_color=&#8221;RGBA(255,255,255,0)&#8221; icon_color=&#8221;#000000&#8243; open_icon_color=&#8221;#000000&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; title_text_color=&#8221;#000000&#8243; title_level=&#8221;h3&#8243; title_font=&#8221;|700|||||||&#8221; title_line_height=&#8221;1.2em&#8221; custom_margin=&#8221;|0px|||false|false&#8221; custom_padding=&#8221;|0px|||false|false&#8221; title_font_size_tablet=&#8221;&#8221; title_font_size_phone=&#8221;20px&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; border_width_all=&#8221;0px&#8221; border_width_bottom=&#8221;1px&#8221; border_color_bottom=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li aria-level=\"1\"><span>Temporary anticoagulant treatment;<\/span><\/li>\n<li aria-level=\"1\"><span>Ultrasound monitoring at 1 month, 6 months, then annually;<\/span><\/li>\n<li aria-level=\"1\"><span>Regular clinical monitoring by the vascular surgeon.<\/span><\/li>\n<\/ul>\n<p>[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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title_text=&#8221;doctolib-atelrie-pic-three&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;0px||||false|false&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_font_size=&#8221;48px&#8221; header_2_line_height=&#8221;1.2em&#8221; custom_margin_tablet=&#8221;||10px||false|false&#8221; custom_margin_phone=&#8221;||10px||false|false&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; header_2_font_size_tablet=&#8221;30px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|tablet&#8221; header_2_line_height_tablet=&#8221;1.4em&#8221; header_2_line_height_phone=&#8221;1.5em&#8221; header_2_line_height_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Links with other venous pathologies<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_font_size=&#8221;48px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font=&#8221;|700|||||||&#8221; header_3_font_size=&#8221;40px&#8221; header_3_line_height=&#8221;1.2em&#8221; background_enable_image=&#8221;off&#8221; background_size=&#8221;contain&#8221; background_position=&#8221;center_left&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;||||true|false&#8221; custom_padding_phone=&#8221;|||0px|true|false&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; header_2_font_size_tablet=&#8221;30px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|tablet&#8221; header_2_line_height_tablet=&#8221;1.4em&#8221; header_2_line_height_phone=&#8221;1.5em&#8221; header_2_line_height_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Cockett syndrome is often<\/span> <b>the cause of <span class=\"no-break\">chronic venous disorders:<\/span><\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Recurrent varicose veins<\/b> <span style=\"font-weight: 400;\">despite laser treatment or sclerotherapy;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Unexplained <b>phlebitis<\/b> <span style=\"font-weight: 400;\">in one leg;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Chronic edema<\/b> <span style=\"font-weight: 400;\">or persistent feeling of heaviness.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A<\/span> <b>combined approach<\/b> <span style=\"font-weight: 400;\">to varicose veins and pelvic compression is essential to prevent recurrence.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;https:\/\/dr-seban-chirurgien-vasculaire.com\/operation-des-varices\/&#8221; 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background_size=&#8221;contain&#8221; background_position=&#8221;center_left&#8221; max_width=&#8221;800px&#8221; custom_margin=&#8221;||||false|false&#8221; custom_margin_tablet=&#8221;||20px||false|false&#8221; custom_margin_phone=&#8221;||20px||false|false&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;30px||30px|50px|true|false&#8221; custom_padding_tablet=&#8221;|||30px|true|false&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; header_2_font_size_tablet=&#8221;30px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|tablet&#8221; header_2_line_height_tablet=&#8221;1.4em&#8221; header_2_line_height_phone=&#8221;1.5em&#8221; header_2_line_height_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Consult a vascular surgeon<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#FFFFFF&#8221; text_line_height=&#8221;1.8em&#8221; max_width=&#8221;700px&#8221; module_alignment=&#8221;left&#8221; text_font_size_tablet=&#8221;&#8221; text_font_size_phone=&#8221;14px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_line_height_tablet=&#8221;&#8221; text_line_height_phone=&#8221;&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Dr. Seban consults at the Pays de Savoie Private Hospital<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <span style=\"font-weight: 400;\">19 avenue Pierre Mend\u00e8s France, 74100 Annemasse.<\/span><\/p>\n<p><b>Video conference<\/b> <span style=\"font-weight: 400;\">consultations<\/span> <span style=\"font-weight: 400;\">are also possible.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; 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locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#eae4da&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Restoring normal circulation through targeted care&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xf469;||fa||900&#8243; image_icon_width=&#8221;60px&#8221; content_max_width=&#8221;100%&#8221; image_icon_width_tablet=&#8221;42px&#8221; image_icon_width_phone=&#8221;36px&#8221; image_icon_width_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_level=&#8221;h2&#8243; header_font=&#8221;|700|||||||&#8221; header_font_size=&#8221;48px&#8221; header_line_height=&#8221;1.2em&#8221; body_text_color=&#8221;#2a2a2a&#8221; body_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||22px||false|false&#8221; header_font_size_tablet=&#8221;30px&#8221; header_font_size_phone=&#8221;24px&#8221; header_font_size_last_edited=&#8221;on|tablet&#8221; header_line_height_tablet=&#8221;1.4em&#8221; header_line_height_phone=&#8221;1.5em&#8221; header_line_height_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|phone&#8221; icon_font_size=&#8221;60px&#8221; icon_font_size_tablet=&#8221;42px&#8221; icon_font_size_phone=&#8221;36px&#8221; icon_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Thanks to advances in<\/span> <b>endovascular surgery<\/b> <span style=\"font-weight: 400;\">,<\/span> <b>Cockett syndrome<\/b> <span style=\"font-weight: 400;\">can now be treated effectively<\/span> <b>, safely and sustainably<\/b> <span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <span style=\"font-weight: 400;\">Early detection and appropriate intervention can<\/span> <b>relieve symptoms<\/b> <span style=\"font-weight: 400;\">and<\/span> <b>prevent venous recurrences<\/b> <span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>[\/et_pb_blurb][et_pb_button button_url=&#8221;https:\/\/dr-seban-chirurgien-vasculaire.com\/en\/contact\/&#8221; 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