Venous outflow of the leg: Anatomy and physiologic mechanism of the plantar venous plexus John V. White, MD, Mira L. Katz, MA, RVT, Paul Cisek, MD, Josh.

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Presentation transcript:

Venous outflow of the leg: Anatomy and physiologic mechanism of the plantar venous plexus John V. White, MD, Mira L. Katz, MA, RVT, Paul Cisek, MD, Josh Kreithen, BA Journal of Vascular Surgery Volume 24, Issue 5, Pages 819-824 (November 1996) DOI: 10.1016/S0741-5214(96)70018-6 Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Appearance of plantar venous plexus after injection of contrast medium into a distal superficial vein. In all patients, plexus was composed of a number of large and small veins within deep space of foot. To assess the relationship between length of major veins of plantar venous plexus and arch of foot, the arch was measured from inner surface of calcaneus to inner surface of first metatarsal head. Journal of Vascular Surgery 1996 24, 819-824DOI: (10.1016/S0741-5214(96)70018-6) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Valves within major veins of plantar venous plexus. Journal of Vascular Surgery 1996 24, 819-824DOI: (10.1016/S0741-5214(96)70018-6) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Outflow tract of plantar venous plexus. Note direct flow of contrast medium from plexus into PT veins. Accessory outflow veins from plantar venous plexus (arrow), when present, emptied into PT veins in most patients, although there appeared to be communication with peroneal veins in a few patients. Journal of Vascular Surgery 1996 24, 819-824DOI: (10.1016/S0741-5214(96)70018-6) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Velocity changes within deep veins of calf during compression of plantar venous plexus. Note significant increase in mean peak velocity of PT veins with minimal acceleration within peroneal or AT veins. Journal of Vascular Surgery 1996 24, 819-824DOI: (10.1016/S0741-5214(96)70018-6) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions