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Histomorphologic classification of recurrent saphenofemoral reflux

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Presentation on theme: "Histomorphologic classification of recurrent saphenofemoral reflux"— Presentation transcript:

1 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 (April 2004) DOI: /j.jvs

2 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  , DOI: ( /j.jvs )

3 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  , DOI: ( /j.jvs )

4 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  , DOI: ( /j.jvs )

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