The Giacomini vein as an autologous conduit in infrainguinal arterial reconstruction Konstantinos T. Delis, MD, PhD, FRCSI, EBSQvasc, Mark Swan, MRCS,

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Presentation transcript:

The Giacomini vein as an autologous conduit in infrainguinal arterial reconstruction Konstantinos T. Delis, MD, PhD, FRCSI, EBSQvasc, Mark Swan, MRCS, Jeremy S. Crane, MRCS, Nicholas J.W. Cheshire, MD, FRCS Journal of Vascular Surgery Volume 40, Issue 3, Pages 578-581 (September 2004) DOI: 10.1016/j.jvs.2004.06.038 Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 1 A, The venous conduit, consisting of the Giacomini and the small saphenous (SSV) veins harvested in continuity, has been mobilized (case 1) in its entirety and is shown lying upon the anteromedial aspect of the lower limb, with the patient in the supine position. The tip of the forceps, depicted at the far right, rests on the upper thigh, and the ligated SSV top-end is just anterior to the knee. The Giacomini vein is the graft segment on the right of the ligated SSV top-end. B, Shown are the Giacomini vein, thigh extension of the SSV (right), and proximal SSV (left) harvested in continuity just before the popliteal aneurysm exposure; the saphenopopliteal junction is depicted at the back of the knee. A single surgical incision was used, with the patient prone (case 2). The venous conduit's diameter marked preoperatively on the lateral aspect of the leg ranged from 4.3 to 4.5 mm. Journal of Vascular Surgery 2004 40, 578-581DOI: (10.1016/j.jvs.2004.06.038) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 2 Schematic representation of the Giacomini vein coursing the posterior thigh as a large tributary or trunk projection of the SSV. A, In case 1 the Giacomini vein coursed the posterior thigh subfascially, turning medially at its upper portion to empty into the great saphenous vein (intersaphenous vein). B, In case 2 the Giacomini vein continued its upright posterior thigh course, subfascially, without joining the great saphenous vein. Journal of Vascular Surgery 2004 40, 578-581DOI: (10.1016/j.jvs.2004.06.038) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions