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Venous anatomy
Published in Joseph A. Zygmunt, Venous Ultrasound, 2020
In the lower portion of the leg, the great saphenous is joined by two other tributaries: the posterior accessory saphenous vein of the leg, previously called the posterior arch vein or vein of Leonardo, and the anterior accessory saphenous vein of the leg. Clinically important, the posterior accessory saphenous vein is most often involved with the Cockett or posterior tibial perforating veins in the presentation of venous ulceration. This point needs to be stressed as it is commonly not well appreciated by novices. In most instances, the distal great saphenous vein does not connect to the Cockett or posterior tibial perforators. Almost universally, the posterior tibial perforators connect the posterior tibial veins and the posterior accessory saphenous vein (previously the posterior arch vein). (This is more fully illustrated in Figure 1.21 in the section “Perforating veins.”)
Lower Limb
Published in Rui Diogo, Drew M. Noden, Christopher M. Smith, Julia Molnar, Julia C. Boughner, Claudia Barrocas, Joana Bruno, Understanding Human Anatomy and Pathology, 2018
Rui Diogo, Drew M. Noden, Christopher M. Smith, Julia Molnar, Julia C. Boughner, Claudia Barrocas, Joana Bruno
The great saphenous vein is the most prominent of the superficial veins of the lower limb (Plate 5.1). This vein arises from the medial end of the dorsal venous arch of the foot, passing anteriorly to the medial malleolus at the ankle, over the posterior border of the medial epicondyle of the femur at the knee, and deeply through the saphenous opening to drain into the femoral vein. More distally, the great saphenous vein is connected to the deep venous system of the lower limb via several perforating veins. More proximally, the great saphenous vein is joined by the superficial external pudendal vein, the superficial epigastric vein, and the superficial circumflex iliac vein. An accessory saphenous vein often drains the skin and superficial fascia of the medial side of the thigh. The small saphenous vein arises from the lateral end of the dorsal venous arch and then runs proximally until it pierces the deep fascia in the popliteal fossa to join the popliteal vein.
Anatomy of veins and lymphatics
Published in Ken Myers, Paul Hannah, Marcus Cremonese, Lourens Bester, Phil Bekhor, Attilio Cavezzi, Marianne de Maeseneer, Greg Goodman, David Jenkins, Herman Lee, Adrian Lim, David Mitchell, Nick Morrison, Andrew Nicolaides, Hugo Partsch, Tony Penington, Neil Piller, Stefania Roberts, Greg Seeley, Paul Thibault, Steve Yelland, Manual of Venous and Lymphatic Diseases, 2017
Ken Myers, Paul Hannah, Marcus Cremonese, Lourens Bester, Phil Bekhor, Attilio Cavezzi, Marianne de Maeseneer, Greg Goodman, David Jenkins, Herman Lee, Adrian Lim, David Mitchell, Nick Morrison, Andrew Nicolaides, Hugo Partsch, Tony Penington, Neil Piller, Stefania Roberts, Greg Seeley, Paul Thibault, Steve Yelland
The anterior and posterior accessory saphenous veins lie in individual saphenous compartments near their proximal ends. The anterior accessory saphenous vein is present in at least 50% of limbs and lies anterior and lateral to the great saphenous vein and anterior to the femoral vein, forming the alignment sign seen on ultrasound (see Chapter 10). There are variations of the origin of the anterior accessory saphenous vein (Figure 2.18).
What is the optimal treatment technique for great saphenous vein diameter of ≥10 mm? Comparison of five different approaches
Published in Acta Chirurgica Belgica, 2021
Emre Kubat, Celal Selçuk Ünal, Onur Geldi, Erdem Çetin, Aydın Keskin
All extremities included in the study were divided into five groups as follows: HLS (n = 94), EVLA at 980 nm wavelength (n = 151), EVLA at 1,470 nm wavelength (n = 109), RFA (n = 264), and CAC (n = 79). The preoperative GSV diameter, CEAP class, VCSS scores, and body mass index (BMI) were recorded. Postoperative procedure-related complications such as bruising, thrombophlebitis, pigmentation, paresthesia, skin burns, deep vein thrombosis (DVT) or pulmonary thromboembolism, and wound infections, postoperative pain severity, concomitant surgical procedures such as microphlebectomy and anterior accessory saphenous vein (AASV) interventions (ablation/stripping), VCSS scores at 1 year, recurrence and occlusion at 6 months and 1 year were also evaluated. The postoperative pain severity was evaluated using the Visual Analog Scale (VAS). Postoperative follow-up was carried out by clinical examination and DUS. Recurrence was defined as new-onset varicose veins following the procedure [1]. Occlusion was defined as the complete occlusion of the vein with no reflux on the Duplex ultrasound scan in the treated GSV segment. The reasons of the recurrences were also recorded.