Alberto Caggiati, MD, PhD, John J

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Presentation transcript:

Nomenclature of the veins of the lower limb: Extensions, refinements, and clinical application Alberto Caggiati, MD, PhD, John J. Bergan, MD, Peter Gloviczki, MD, Bo Eklof, MD, Claudio Allegra, MD, Hugo Partsch, MD Journal of Vascular Surgery Volume 41, Issue 4, Pages 719-724 (April 2005) DOI: 10.1016/j.jvs.2005.01.018 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 A, Axial computed tomography scan of the thigh. The greater saphenous vein (*) and the saphenous accessories (arrows) course in different planes, separated by the saphenous fascia (arrowheads). B, Axial section from a cadaveric limb showing the close relationships of the great saphenous vein (*) with the saphenous fascia (arrowheads) and the underlying muscular fascia (MF). SL, Saphenous ligament. Journal of Vascular Surgery 2005 41, 719-724DOI: (10.1016/j.jvs.2005.01.018) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Schematic representation of the hemodynamic role of the sapheno-femoral junction (SFJ) valves (modified from Pieri et al, 1995). B, The first exhaustive representation of the SFJ with its valves. Modified from the De Venarum Ostiolis, of Jeronimus Fabricius Ab Acquapendente, Venice, 1603. TV, Terminal valve; PTV, preterminal valve; SSV, suprasaphenic valve; ISV, infrasaphenic valve. Journal of Vascular Surgery 2005 41, 719-724DOI: (10.1016/j.jvs.2005.01.018) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 A, At the groin, the anterior accessory of the great saphenous vein (GSV) (arrow) courses deeply in the subcutaneous layer, and below a hyperechoic fascia that resembles the GSV covering. B, The small lumen of a hypoplastic GSV as seen by duplex scan. Note the compensatory enlargement of the overlying saphenous accessory. C, Real double GSV. The two veins course within the saphenous compartment and are connected by the saphenous ligament (arrow). D, Real double femoral vein. The two veins (in blue) course close to the femoral artery (in red). Journal of Vascular Surgery 2005 41, 719-724DOI: (10.1016/j.jvs.2005.01.018) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions