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Anterior accessory saphenous vein

About: Anterior accessory saphenous vein is a research topic. Over the lifetime, 52 publications have been published within this topic receiving 1536 citations.


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TL;DR: A 56-year-old male with swelling in left inguinal region and symptoms of chronic venous insufficiency is presented with an aneurysm in left accessory saphenous vein and resected under local anesthesia.
Abstract: Venous aneurysms are rare entities observed in neck, thorax, extremity, and abdominal veins. Although the exact etiology is unknown, trauma to vessel wall, inflammation, congenital anomalies, and local degenerative changes are implicated. Venous aneurysms may be thrombosed and lead to thromboembolic events, acute pulmonary embolism, and death. Resection of the aneurysm is the general preferred approach. We present a 56-year-old male with swelling in left inguinal region and symptoms of chronic venous insufficiency. Diag - nostic workup revealed an aneurysm in left accessory saphenous vein. It was resected under local anesthesia. The patient was discharged without any complications.

1 citations

Journal ArticleDOI
TL;DR: The current study showed that the segmental aplasia of the GSV was seen in one-third of limbs on each side and was mostly unilateral; it was always present in its mid portion below or above the knee.
Abstract: This is a prospective study to assess the frequency and anatomic distribution of the segmental absence or aplasia of the GSV using ultrasonography. 670 limbs of 335 consecutive patients who had signs and symptoms related to venous insufficiency of the leg were evaluated. Venous clinical severity scores ranged from 0 to 20The GSV was examined for its diameter, its relation with the fascial compartments and venous reflux on both legs. Diagnosis of segmental absence of the GSV was established when ultrasonography showed that the saphenous vein left the compartment and there was not any other saphenous vein in it. If a normal diameter or smaller than normal diameter vein remained in the compartment all along its course, this was not considered segmental aplasia and excluded from the study. Segmental aplasia was classified into three subgroups. Type 1: The GSV leaves the saphenous compartment in the leg and joins it at any point in the thigh. Type 2: The GSV leaves the saphenous compartment in the leg and joins it in the leg just below the knee. Type 3: The GSV leaves the saphenous compartment in the thigh and joins it more cranially in the thigh. The current study showed that the segmental aplasia of the GSV was seen in one-third of limbs on each side and was mostly unilateral; it was always present in its mid portion below or above the knee . It was found in 223 of 670 limbs (33%) in the whole patient population. It was type 1 in 59%, type 2 in 29%, and type 3 in 12% of the patients. It was was seen in 65 of 189 limbs (34.4%) with GSV insufficiency and 45 of 146 limbs (30.8%) with normal GSV on the right side, and 65 of 194 limbs (33.5%) with GSV insufficiency and 44 of 141 limbs (31.2%) with normal GSV on the left side. There was no relation between the presence of segmental aplasia of the GSV and the presence of GSV or SSV insufficiency in the same limb among patients with CEAP scores 1 and above. Aplasic segment of the GSV may prevent progression of any kind of endovenous device such as surgical stripper, laser fiber, or radiofrequency ablation probe. Care must be taken not to cause thermal damage during endovenous thermal ablation of the insufficient connecting or bridging vein as this vein comes closer to the skin after leaving the saphenous compartment. This vein was named as accessory saphenous vein or tributary vein. An alternative term such as the saphenous connecting vein or bridging vein regarding its function or the saphenous bow regarding its shape might be more appropriate. The etiology of segmental aplasia or hypoplasia of the GSV is unknown. It was assumed to be due to a developmental prevalence of vessels with the most favorable hemodynamic condition over the greater vessels that underwent atrophy.

1 citations

Journal ArticleDOI
TL;DR: Endovenous laser ablation of major saphenous veins by means of the Mediola laser unit with wavelength of 1470 nm and single-ring radial light guides with the use of the 'Optical Handpiece MHP02 (Colibri)' made it possible to achieve obliteration of the target vein in 98.7%.
Abstract: AIM The purpose of the study was to assess efficacy of endovenous laser ablation of major saphenous veins by means of the Mediola single-ring radial light guides with the use of the 'Optical Handpiece MHP02 (Colibri)' PATIENTS AND METHODS This non-comparative prospective study included 430 consecutive patients who underwent a total of 511 endovenous laser ablation procedures from January 2018 to March 2019 The great saphenous vein was subjected to obliteration in 343 (671%) cases, the anterior accessory saphenous vein - in 94 (184%) cases, and the small saphenous vein - in 74 (145%) cases There were 170 (395%) men and 260 (605%) women, with a mean age of 52±128 years RESULTS The next day after the intervention the patients revisited the clinic for control examination, with the obtained findings demonstrating that occlusion of the target vein had been achieved in all 511 (100%) cases At 2 months, we examined 411 (956%) people with a total of 484 (947%) treated veins After 6 months, 399 (928%) people with 472 (924%) veins were examined Recanalization with pathological reflux during the entire follow-up period was registered in 6 (13%) cases Hence, the long-term rate of obliteration amounted to 987% CONCLUSIONS 1) endovenous laser ablation of major saphenous veins by means of the Mediola laser unit with wavelength of 1470 nm and single-ring radial light guides with the use of the 'Optical Handpiece MHP02 (Colibri)' made it possible to achieve obliteration of the target vein in 987% of cases at 6 months of follow up; 2) within the mentioned terms, the need for repeat intervention could appear in 11% of cases; 3) the Colibri system provides a possibility of decreasing the final cost of radial light guides for endovenous laser ablation by 30-50%

1 citations

Journal ArticleDOI
TL;DR: The obtained findings suggest a possibility of performing EVLO in patients with an allergy-burdened history in relation to local anaesthetics using for tumescence exclusively normal saline solution chilled to a temperature of +3-6ºC, with no additional sedation or narcosis.
Abstract: Aim The purpose of the present study was to assess the possibility of carrying out endovenous laser obliteration (EVLO) with radial light guides on a laser device operating at a wavelength of 1470 nm, using for tumescence only cold normal saline solution without additional sedation or narcosis in patients with allergy to local anaesthetics. Patients and methods Our prospective non-comparative single-centre study consecutively included 37 patients who from November 2014 to June 2019 underwent a total of 41 isolated EVLO procedures without simultaneous miniphlebectomy or sclerotherapy of tributaries. Given the previous history of allergy to amide-group local anaesthetics and/or multiple allergic reactions to other agents, these patients received as anaesthesia and tumescence exclusively normal saline solution cooled to a temperature of +3-6oC, without addition of local anaesthetics or any other therapeutic agents, with neither sedation nor narcosis. Results The great saphenous vein was subjected to coagulation in 33 (80.5%) cases, the anterior accessory saphenous vein in 5 (12.2%), and the small saphenous vein in 3 (7.3%) cases. The median of the mean diameter of the veins at 3 cm from the saphenofemoral or saphenopopliteal junction amounted to 10 mm (1st quartile 8.2; 3rd quartile 11). The median of the mean length of the coagulated vein - 45 cm (1st quartile 22; 3rd quartile 51), the median of the average amount of the administered normal saline solution - 300 ml (1st quartile 200; 3rd quartile 450), the median of the average amount of normal saline per 1 centimetre of the venous length - 8.7 ml (1st quartile 7.5; 3rd quartile 10). All patients without exception tolerated the intervention. The process of laser obliteration was not discontinued due to pronounced perioperative pain syndrome in any case. All patients after the procedure answered the question 'Would you repeat a similar intervention if the need arises?' in the affirmative. All the 41 (100 %) veins subjected to coagulation were obliterated at early terms of follow up, with no ultrasonographic evidence of recanalization. Conclusion The obtained findings suggest a possibility of performing EVLO in patients with an allergy-burdened history in relation to local anaesthetics using for tumescence exclusively normal saline solution chilled to a temperature of +3-6oC, with no additional sedation or narcosis. Such an approach makes it possible, on the one hand, not to change the organization of outpatient phlebological care and on the other hand to refuse from involving anaesthesiological support. Besides, it is absolutely safe in relation to the risk for the development of allergic reactions.
01 Jan 2013
TL;DR: A 55-year-old male patient, who had a transient ischaemic attack, lasting 30 minutes, after foam sclerotherapy of the small saphenous vein, is assumed to have had the cause of the TIA, even though a cardiac cause cannot be ruled out with absolute certainty.
Abstract: Summary We report on the case of a 55-year-old male patient, who had a transient ischaemic attack (TIA), lasting 30 minutes, after foam sclerotherapy of the small saphenous vein. The patient had marked small saphenous varicose veins on both sides as well as varicosities of the anterior accessory saphenous vein in the left leg. CEAP classification was stage 3 on both sides. The patient had a history of chronic atrial fibrillation with severe sick sinus syndrome and was on therapeutic anticoagulation. He also had dilated cardiomyopathy with an ejection fraction of only 35 %. Following two unremarkable sessions of foam sclerotherapy with 0.5 % foamed polidocanol applied to the anterior accessory saphenous vein, the patient had a transient ischaemic attack shortly after completion of the third session, in which the small saphenous vein was treated, likewise with foam sclerotherapy with 0.5 % foamed polidocanol. He experienced weakness of the left leg, reduced strength in the left hand and numbness in both limbs on the left side. The symptoms resolved completely within 30 minutes. A cardiology work-up prior to the intervention excluded the presence of a patent foramen ovale or intracardiac thrombi. Carotid artery stenosis was ruled out as the cause of the TIA by colour duplex ultrasonography. As ECG monitoring after the occurrence of the TIA showed that the heart rhythm remained stable, without any bradycardia or long pauses, we assume that the foam sclerotherapy was the cause of the TIA, even though a cardiac cause cannot be ruled out with absolute certainty.
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Performance
Metrics
No. of papers in the topic in previous years
YearPapers
20216
20206
20196
20183
20174
20166