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gh 15 years. The outcomes of deep vein thrombosis (DVT) in children with May-Thurner Syndrome (MTS) remain unclear. This systematic review and patient-level meta-analysis aims to describe the outcomes of children with MTS presenting with DVT. A systematic review of the published literature was performed. Data related to patients 18years diagnosed with MTS and DVT was extracted. Risk of bias was assessed using the Murad criteria. Outcomes included vessel patency post-treatment, DVT recurrence, and post-thrombotic syndrome (PTS). Predic