Abstract
May-Thurner syndrome is a condition in which there is obstruction of blood flow in the left iliac vein due to compression between the right iliac artery and the spine. We present two clinical cases of women with venous compressive May-Thurner syndrome who underwent endovascular management with the insertion of a dedicated venous stent. One patient presented symptoms such as intermittent claudication, pain, and limb edema without other complications. The second patient had extensive deep venous thrombosis of the iliocaval axis and left femoral vein, for which endovascular aspiration thrombectomy was performed. Both procedures were technically successful, and no complications occurred.