Regularities of morphological rearrangement of the great saphenous vein wall at different levels of the lower extremities in different periods of a person’s life

2021 ◽  
Vol 4 (4) ◽  
pp. 28
Author(s):  
A.B. Sannikov ◽  
E.V. Shajdakov ◽  
V.M. Emel'yanenko
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Lower Extremities ◽  
Vein Wall ◽  
Different Levels

The condition of the veins of the femoral-iliac segment in patients with varicose veins of the lower extremities

1982 ◽  
Vol 63 (4) ◽  
pp. 63-66
Author(s):  
V. E. Mamaev ◽  
M. F. Musin ◽  
M. N. Malinovsky
Keyword(s):  
Contrast Agent ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Femoral Vein ◽  
Lower Extremities ◽  
The State ◽  
Contrast Study ◽  
Aneurysmal Dilatation ◽  
Saphenous Veins

In 70 patients with varicose veins of the lower extremities, the state of the venous bed of the femoral-iliac segment was studied by methods of proximal pelvic and retrograde-femoral phlebography. The characteristic radiological signs of varicose veins were found: ectasia of the iliac and femoral veins, failure of the valve of the sapheno-femoral anastomosis with reflux of the contrast agent into the great saphenous vein, aneurysmal dilatation of the mouth of the great saphenous vein, partial or complete insufficiency of the valves of the femoral vein. It was found that in 35.7% of cases, the cause of the development of hypertension and varicose veins of the saphenous veins was segmental narrowing of the veins and compression of the femoral vein in the region of the pupar ligament, various extravasal compression of the main veins of the femoral-iliac segment with bone protrusions, a cross-passing artery, and an enlarged uterus. It is recommended, when studying the venous hemodynamics of the lower extremities, simultaneously with the use of distal phlebography, to carry out a contrast study of the pelvic veins

One-shot scleroembolization: a new technique for the treatment of varicose veins disease of lower extremities. Preliminary results

2013 ◽  
Vol 29 (10) ◽  
pp. 694-697 ◽  
Author(s):  
Marco P Viani ◽  
Giacomo M Viani ◽  
Jessica Sergenti
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Lower Extremities ◽  
New Technique ◽  
Invasive Treatment ◽  
Effective Technique ◽  
Combined Use ◽  
A New Technique

Objective The aim of this article is to present a new technique for minimally invasive treatment of varicose veins disease of lower extremities. Methods One-shot scleroembolization is a new technique designed for the treatment of varicose veins of the lower extremities, which associates a mechanical interruption of the sapheno-femoral junction to classic sclerotherapy with no need for surgery or anesthesia. This is achieved with the combined use of a coil positioned in the terminal portion of the great saphenous vein and a foamed sclerosant drug. Results At three months’ follow-up no complications have been observed. The great saphenous vein was still occluded in all patients (nine out of nine). Conclusions One-shot scleroembolization seems to be an effective technique for the treatment of varicose veins disease in outpatients, with the advantage of causing little distress to the patient.

Neovascularization in Recurrence of the Varicose Great Saphenous Vein following Transection

1987 ◽  
Vol 2 (2) ◽  
pp. 81-91 ◽  
Author(s):  
G.M. Glass
Keyword(s):  
Smooth Muscle ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Elastic Tissue ◽  
Local Analgesia ◽  
Vascular Changes ◽  
Vein Wall ◽  
Surgical Exploration ◽  
Haemodynamic Changes

Recurrence of varicose veins after surgical treatment is widely attributed to morphological and haemodynamic changes in pre-existing collateral veins. Transection of the great saphenous vein in the thigh under local analgesia was used to promote healing of varicose ulceration. When healing was complete, saphenofemoral ligation combined with stripping or multiple ligation was performed. At the same time the vascular changes at the site of transection were investigated in 10 patients by phlebography, surgical exploration and examination of the excised vessels by radiographic and histological methods. The results showed that the continuity of the vein was restored by growth of new vessels in the surrounding tissues and vein wall. Some vessels increased in size, developing smooth muscle and elastic tissue in their walls, while the majority underwent regression. It was concluded that the theory of recurrence through pre-existing veins requires revision.

scholarly journals Associations between flow in paratibial perforating veins and great saphenous vein patterns of reflux

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Carlos Alberto Engelhorn ◽  
Ana Luiza Dias Valiente Engelhorn ◽  
Sergio Xavier Salles-Cunha ◽  
Nicolle Amboni Schio ◽  
Giovanna Golin Guarinello ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Lower Extremities ◽  
Duplex Ultrasonography ◽  
Perforating Veins ◽  
Ceap Classification ◽  
Valvular Insufficiency

Perforating veins contribute to chronic venous valvular insufficiency (CVVI, subset of CVI) of lower extremities (LE). We investigated the role of medial, proximal calf paratibial perforating veins (PTPV). Women with PTPV reflux, diameter ≥3 mm, or tortuosity were selected among 2199 LE mappings. Duplex ultrasonography (US) was performed standing. Reflux >0.5 s was abnormal. PTPV conditions were related to great saphenous vein (GSV) patterns of reflux. US of 442 LE of 379 women were analyzed, all being Clinical-Etiology-Anatomy-Pathophysiology (CEAP) classification C1, C2, and/or having intermittent, conditional swelling. Etiology was primary. Pathophysiology was reflux, not thrombosis or obstruction. Most PTPV drained (n=281, 64% of 442 or 13% of 2199), or were source (n=73, 17%/442, 3%/2199) of GSV reflux; 49 (11%/442, 2%/2199) had reflux not associated with GSV; 39 (9%/442, 2%/2199) did not have reflux. PTPV, when significative for CVVI, primarily drained-GSV reflux. PTPV was linked to reflux in 1 of 5 and was a major source of reflux in 1 of 20 legs. Detailed US of PTPV insured over 80% accuracy in CVVI mapping.

scholarly journals Phlebosclerosis in lower extremities veins – a systematic review

VASA ◽  
2020 ◽  
Vol 49 (5) ◽  
pp. 349-358
Author(s):  
Kostas Tepelenis ◽  
Georgios Papathanakos ◽  
Alexandra Barbouti ◽  
Georgios Paraskevas ◽  
Aikaterini Kitsouli ◽  
...  
Keyword(s):  
Clinical Significance ◽  
Histological Examination ◽  
Saphenous Vein ◽  
Full Text ◽  
Vein Graft ◽  
Venous Insufficiency ◽  
Great Saphenous Vein ◽  
Lower Extremities ◽  
Graft Patency ◽  
Common Location

Summary. Phlebosclerosis is a venous wall degenerative disease which has gained little popularity in the literature due to its uncertain clinical significance. The objective of this review is to evaluate the epidemiology, etiology and clinical significance of phlebosclerosis in lower extremities veins, particularly the effect of preexisting phlebosclerosis of the great saphenous vein on vein graft patency. Medline was searched from inception until November 1, 2019. Reference lists of included studies were scanned. Only articles published after 1949 were included. Two reviewers independently screened titles/abstracts and full-text papers for any study design in relation to phlebosclerosis in lower extremities veins and abstracted data. A total of 16 Cohort studies and one case-control study (3708 participants, mean age 61.8 years, 59.3 % men, and 40.7 % women) were included after screening 317 titles and abstracts, and 80 full-text articles. The incidence of phlebosclerosis ranged from 1.5–9.7 % depending on the radiological features. On the contrary, the incidence of the phlebosclerotic great saphenous vein prior to its use as a vein graft was 26.9–91 % on histological examination. The small saphenous vein was the most common location of phlebosclerosis followed by the great saphenous vein. There is a link between phlebosclerosis and age, venous insufficiency and haemodialysis. As for the vein graft patency seven studies demonstrated a correlation between preexisting phlebosclerosis and vein graft stenosis, whereas three studies failed to prove any association. In conclusion, the radiological incidence of phlebosclerosis depended on the ultrasound findings. Its presence in the great saphenous vein prior to its use as a vein graft is established on histological examination. The small saphenous vein is mainly affected. Risk factors included age, haemodialysis, and venous insufficiency. Preexisting wall thickness of the great saphenous vein graft seemed to affect negatively its patency in bypass surgery.

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