Nicos Labropoulos, PhD, DIC, RVT, Angela A

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The distribution and significance of varicosities in the saphenous trunks Nicos Labropoulos, PhD, DIC, RVT, Angela A. Kokkosis, MD, Georgios Spentzouris, BS, Antonios P. Gasparis, MD, RVT, Apostolos K. Tassiopoulos, MD Journal of Vascular Surgery Volume 51, Issue 1, Pages 96-103 (January 2010) DOI: 10.1016/j.jvs.2009.08.069 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Schematic drawing showing the definitions for focal dilatation, varicosities, and aneurysm in the saphenous trunks. Journal of Vascular Surgery 2010 51, 96-103DOI: (10.1016/j.jvs.2009.08.069) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Ultrasound images of saphenous veins with different wall morphology. a, Varicose vein segment of the great saphenous vein (GSV) in the saphenous canal. b, Short segment focal dilatation of the GSV. c, Aneurysm of the GSV (2.5 cm). Journal of Vascular Surgery 2010 51, 96-103DOI: (10.1016/j.jvs.2009.08.069) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Anatomic drawing that used skin, muscular and bony landmarks to record precise location and extent of varicose segments. The different compartments were recognized as shown in the 3D section in the lower thigh. GSV, Great saphenous vein; A, femoral artery; V, femoral vein. Journal of Vascular Surgery 2010 51, 96-103DOI: (10.1016/j.jvs.2009.08.069) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 Panoramic views by 3D volume-rendered CT venography demonstrating the veins affected by varicosities in the lower extremity. a, Short-segment varicosity of the great saphenous vein (GSV) accessory vein ([1] GSV, [2] Varicosity off the GSV at the knee, [3] Segmental hypoplasia of the GSV at the level of the varicosity, [4] Normal GSV below the hypoplastic segment with varicose tributaries). b, Varicosities of the small saphenous vein (SSV) ([1] GSV, [2] tortuous SSV, [3] cranial or dorsal extension of SSV, [4] medial gastrocnemial vein, [5] common trunk of SSV with gastrocnemial veins, [6] popliteal vein, [7] communicating vein of the calf between the SSV and GSV). Courtesy of Dr Jean-Francoise Uhl. Journal of Vascular Surgery 2010 51, 96-103DOI: (10.1016/j.jvs.2009.08.069) Copyright © 2010 Society for Vascular Surgery Terms and Conditions