The thigh extension of the lesser saphenous vein: From Giacomini's observations to ultrasound scan imaging Mihael Georgiev, MDa, Kenneth A Myers, FRACSb,

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Presentation transcript:

The thigh extension of the lesser saphenous vein: From Giacomini's observations to ultrasound scan imaging Mihael Georgiev, MDa, Kenneth A Myers, FRACSb, Gianni Belcaro, MD, PhDc,d Journal of Vascular Surgery Volume 37, Issue 3, Pages 558-563 (March 2003) DOI: 10.1067/mva.2003.77 Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Portrait of Carlo Giacomini. Reprinted by permission of Edizioni Minerva Medica from Int Angiol 2001;20:225-33. Journal of Vascular Surgery 2003 37, 558-563DOI: (10.1067/mva.2003.77) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Posterior aspect of right lower limb shows various proximal terminations of TE of LSV. TE, TE of LSV; SPJ, saphenopopliteal junction; M, medial gastrocnemius muscle; L, lateral gastrocnemius muscle; ST, semitendinosus muscle; B, biceps muscle (long head); 1, intersaphenous anastomosis; 2, vein of small ischiatic nerve or femoropopliteal, going up into gluteal area; 3, posterior thigh perforator; 4, termination into short head of biceps muscle. Journal of Vascular Surgery 2003 37, 558-563DOI: (10.1067/mva.2003.77) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Transverse ultrasound scan of TE. TE, TE of LSV; I, interfascial compartment; ST, semitendinosus muscle; B, biceps muscle. Journal of Vascular Surgery 2003 37, 558-563DOI: (10.1067/mva.2003.77) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Involvement of Giacomini's thigh intersaphenous anastomosis (IA) in varicose disease. A, Dilated and incompetent IA transmits reflux from GSV or thigh perforators (TP) and pelvic veins (PV) to LSV; B, Dilated IA transmits reflux from saphenopopliteal junction to GSV or thigh varicose veins (TV). Journal of Vascular Surgery 2003 37, 558-563DOI: (10.1067/mva.2003.77) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions