Histomorphologic classification of recurrent saphenofemoral reflux

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Presentation transcript:

Histomorphologic classification of recurrent saphenofemoral reflux Markus Stücker, MD, Katharina Netz, Frank Breuckmann, MD, Peter Altmeyer, MD, Achim Mumme, MD Journal of Vascular Surgery Volume 39, Issue 4, Pages 816-821 (April 2004) DOI: 10.1016/j.jvs.2003.10.054

Fig 1 Single-channel recurrences. a, Single-channel refluxing residual stump of the greater saphenous vein resulting from a technical error. Note typical three-layered structure of the vein wall and the presence of venous valves (elastica–van Gieson stain; original magnification ×20). b, Newly formed single-conduit recurrence arising from neovascularization at the saphenofemoral junction. Note total loss of a specific wall structure (elastica–van Gieson stain; original magnification ×20). Journal of Vascular Surgery 2004 39, 816-821DOI: (10.1016/j.jvs.2003.10.054)

Fig 2 Multichannel recurrences. a, Multichannel recurrence as a consequence of neovascular formation. Note irregular arrangement of lumens, muscle layers, and elastic and collagenous fibers (elastica–van Gieson stain; original magnification ×25). b, Multichannel recurrent refluxing veins originating from dilated preexisting venules located at the saphenofemoral junction. Note the surrounding fatty tissue (elastica–van Gieson stain; original magnification ×20). Journal of Vascular Surgery 2004 39, 816-821DOI: (10.1016/j.jvs.2003.10.054)

Fig 3 Lymph node from a recurrent varicose vein at the saphenofemoral junction containing a large thick-walled vein in addition to a number of tiny vessels, as a potential indication of lymphovenous dysplasia (elastica–van Gieson stain; original magnification ×20). Journal of Vascular Surgery 2004 39, 816-821DOI: (10.1016/j.jvs.2003.10.054)