Clinical and anatomical variants of varicose veins in the basin of small subcutaneous vein
Journal Title: Серце і судини - Year 2018, Vol 0, Issue 2
Abstract
The aim — to distinguish variants of the topography of the small subcutaneous vein (SSV) and its femoral branch (FB) according to the ultrasound scan, as well as to determine the pathways for the spread of venous reflux and to develop anatomical and hemodynamic classification of varicose veins (VV) types. Materials and methods. We analyzed the results of the study of SSV topography variants in 474 patients of the general population and ways of distribution of blood reflux in SSV basin in 126 patients with VV, who were diagnosed and treated at O. O. Shalimov National Institute of Surgery and Transplantology of NAMS of Ukraine within the period of 2003 — 2007. Results and discussion. 6 variants of topography of SSV and 5 variants of topography of its FB were singled out. The most common variant, which occurs in 47.0 % of patients, is the influx of SSV into the popliteal vein with an isolated trunk. In the total number of the examined patients, SSVs had hip extension in the form of FB in 40.9 % and had no fistula with popliteal vein in 17.9 % of cases. The study of ways of venous reflux spreading made it possible to distinguish the following types of FB in the SSV basin: 1) the trunk type — in 76.2 %; 2) the inflow type — in 17.5 %; 3) the perforation type — in 6.3 % of patients. Conclusions. The most common type that occurs in 76.2 % of patients is the formation of blood reflux at the level of saphenopopliteal fistula and its spread along the SSV trunk. Of the total number of patients with VV, an «atypical» distribution of blood reflux was registered in 23.8 % of cases.
Authors and Affiliations
A. O. Guch, O. V. Ligonenko, O. I. Nabolotny
Keywords
Related Articles
- EP ID EP332363
- DOI 10.30978/HV2018268
- Views 110
- Downloads 0
Reconstructive operations on pedal arteries in the treatment of critical limb ischemia
The aim — to analyze results of reconstructive operations on pedal arteries in patients with critical limb ischemia (CLI). Materials and methods. From January 2008 to September 2017 in the Department of Vascular Surgery...
Long-term results of treatment of varycose disease by metod of endovasal laser coagulation
The aim — to analyse the post‑operative results of treatment of patients with varicose disease after surgery with the endothermal method. Materials and methods. The research analysis covered 129 patients who underwent...
Peripheral blood leukocyte count and prognosis in patients with myocardial infarction treated with thrombolytic therapy
The aim — to evaluate the predictive value of peripheral blood leukocyte count regarding the efficacy of thrombolytic therapy (TLT) and STEMI clinical course. Materials and methods. We examined 100 patients with STEMI a...
Features of circadian regulation and cardiac rhythm disorders in patients with arterial hypertension and frequent recurrences of atrial fibrillation
The aim — to determine the features of circadian regulation and cardiac rhythm disorders according to Holter monitoring of electrocardiogram (HM ECG) in patients with arterial hypertension (AH) and frequent recurrences o...
Prediction of functional consequences of cerebral ischemic stroke one year after its occurrence
The aim — investigation of independent prognostic factors of minimal dependence in everyday activities one year after ischemic stroke by developing a prognostic mathematical model. Materials and methods. The neurologic...