#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Ultrasound mapping of lower-limb vascular system with regard to occurrence and anatomy of additional front great saphenous vein


Authors: D. Musil 1,2;  J. Herman 3
Authors place of work: Nestátní interní a cévní ambulance, II. poliklinika, Olomouc 1;  Ústav patofyziologie Lékařské fakulty UP Olomouc, přednosta prof. MUDr. Jaroslav Veselý, CSc. 2;  II. chirurgická klinika Lékařské fakulty UP a FN Olomouc, přednosta prof. MUDr. Miloslav Duda, DrSc. 3
Published in the journal: Vnitř Lék 2006; 52(12): 1150-1155
Category: Original Contributions

Summary

A primary survey study involving a set of 113 lower limbs of 66 patients was focused on the prevalence of additional front great saphenous vein (AFGSV) and the measurement of the distance between its start in the great saphenous vein (GSV) and the saphenofemoral junction (SFJ), the measurement of the distance between the passage of AFGSV through the saphenous fascia and its start in GSV, and compared the width of AFGSV anechogenous lumen with the calibre of GSV. The prevalence of AFGSV in the observed set was 42.5%. Reflux was proved in 6 AFGSVs (12.5%). The width of the AFGSV anechogenous lumen was on an average 0.29 cm (M 0.26 cm, SD ± 0.15 cm), and the width of GSV anechogenous lumen measured on lower limbs with simultaneous occurence of AFGSV was 0.38 cm (M 0.38 cm, SD ± 0.11 cm) on an average. Comparison of the anechogenous lumen width of the two veins showed a statistically significant difference (p < 0,001). AFGSV in the observed set of lower limbs started in VS at an average distance of 0.8 cm from the saphenofemoral junction (M 0.8 cm, SD ± 0.46 cm). The minimum start point distance was 0.1 cm, the maximum was 1.84 cm. In 3 cases (6.3%), AFGSV started directly in the common femoral vein (v. femoralis communis), which was the place where also the saphenous vein begins. The distance between the passage of AFGSV through saphenous fascia to upper subcutaneous layers and the start of the vein in GSV was on an average 13.2 cm (M 14.5 cm, SD ± 6.5 cm). The maximum distance between the pasage of AFGSV through saphenous fascia and the start of the vein in GSV was 4 cm, the maximum distance being 30 cm.

Key words:
frontal additional great saphenous vein – great saphenous vein – saphenous compartment – duplex sonography - ultrasound mapping of lower-limb vascular system


Zdroje

1. Federative International Committee for Anatomical Terminology. Terminologia Anatomica. Stuttgart: George Thieme Verlag 1998.

2. Caggiati A et al. Nomenclature of the veins of the lower limbs: An international interdisciplinary consensus statement. J Vasc Surg 2002; 36: 416-422.

3. Caggiati A et al. Nomenclature of the veins of the lower limb: Extensions, refinements, and clinical application. J Vasc Surg 2005; 41: 719-724.

4. Caggiati A, Ricci S. Long saphenous vein compartment. Phlebology 1997; 12: 107-111.

5. Feneis H. Anatomický obrazový slovník. 1. ed. Praha: Avicenum 1981.

6. Haeger K. The surgical anatomy of the sapheno-femoral and the sapheno-popliteal junctions. J Cardiovasc Surg 1962; 3: 420-427.

7. Jutley RR, Cadle I, Gross KS. Perioperative examination of the primary varicose veins: study of the venous insufficiency by the duplex ultrasound. Eur J Vasc Endovasc Surg 2001; 21: 370-373.

8. Musil D, Herman J. Anatomické a hemodynamické změny na žilním řečišti dolních končetin postižených chronickou žilní insuficiencí. Vnitř Lék 2003; 49: 610-617.

9. Musil D, Herman J, Duda M. Recidiva varixů dolních končetin. Vnitř Lék 2004; 50: 587-590.

10. Rutgers PH, Kitslaar PJ. Randomized trial of stripping versus high ligation combined with sclerotherapy in the treatment of the incompetent great saphenous vein. Am J Surg 1994; 168: 311-315.

11. Wong JKF, Duncan JL, Nichols DM. Whole-leg duplex mapping for varicose veins: observations on patterns of reflux in recurrent and primary varicose veins, with clinical correlation. Eur J Vasc Endovasc Surg 2003; 25: 267-275.

Štítky
Diabetology Endocrinology Internal medicine

Článok vyšiel v časopise

Internal Medicine

Číslo 12

2006 Číslo 12
Najčítanejšie tento týždeň
Najčítanejšie v tomto čísle
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#