Ελληνική Ακτινολογία, Τόμος 44, Τεύχος 4, 2013
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veins run through the muscular fascia and connect
deep and superficial veins. A thinner fascial plane,
the saphenous fascia, covers the saphenous trunks
and separates them from their branches. B-mode
ultrasonography provides real time, high resolution
imaging of the veins of the lower extremity and of
their variants. Pulsed-wave and color Doppler provide
hemodynamic information for the diagnosis and grading
of venous insufficiency. Thorough knowledge of the
anatomy of superficial lower limb veins and expertise in
ultrasonographic study of these veins are prerequisites
for the diagnosis and interventional treatment of venous
insufficiency of the lower extremity.
Keywords:
superficial veins, lower extremity,
ultrasonography
Radiology department, General Hospital “Tzan-
io”, Piraeus, Greece
ΒΙΒΛΙΟΓΡΑΦΙΑ
1. Caggiati A, Bergan JJ, Gloviczki P, Jantet G, Wendell-Smith CP,
Partsch H; International Interdisciplinary Consensus Committee on
Venous Anatomical Terminology. Nomenclature of the veins of the
lower limbs: an international interdisciplinary consensus statement.
J Vasc Surg. 2002; 36:416-22.
2. Cavezzi A, Labropoulos N, Partsch H, et al. Duplex ultrasound
investigation of the veins in chronic venous disease of the lower
limbs--UIP consensus document. Part II. Anatomy. Eur J Vasc
Endovasc Surg. 2006; 31:288-99.
3. Ouzkurt L. Ultrasonographic anatomy of the lower extremity
superficial veins. Diagn Interv Radiol. 2012;18:423-30.
4. Meissner MH. Lower extremity venous anatomy.Semin Intervent
Radiol. 2005;22:147-56.
5. Kachlik D, Pechacek V, Baca V, Musil V. The superficial venous
system of the lower extremity: new nomenclature. Phlebology.
2010; 25:113-23.
6. de Oliveira A, Vidal EA, França GJ, Toregiani J, Ribas Timi JR,
Rocha Moreira RC. Anatomic variation study of small saphenous
vein termination using color Doppler ultrasound. J Vasc Br 2004;
3:223-30.
7. Min RJ, Khilnani NM, Golia P. Duplex ultrasound evaluation of
lower extremity venous insufficiency. J Vasc Interv Radiol 2003;
14:1233-1241.
8. Coleridge-Smith P, Labropoulos N, Partsch H, Myers K, Nicolaides
A, Cavezzi A. Duplex ultrasound investigation of the veins in chronic
venous disease of the lower limbs--UIP consensus document. Part I.
Basic principles. Eur J Vasc Endovasc Surg. 2006;31:83-92.
9. Caggiati A. The nomenclature of the veins of the lower limbs, based
on their planar anatomy and fascial relationships. Acta Chir Belg.
2004;104:272-5.
10. Caggiati A Fascial relationships of the long saphenous vein.
Circulation. 1999;100:2547-9.
11. Caggiati A.The saphenous venous compartments. Surg Radiol
Anat. 1999;21:29-34.
12. Caggiati A. The "interfascial" veins of the lower limbs. Ital J Anat
Embryol. 2005;110:97-102.
13. Caggiati A, Bergan JJ, Gloviczki P, Eklof B, Allegra C, Partsch H;
International Interdisciplinary Consensus Committee on Venous
Anatomical Terminology. Nomenclature of the veins of the lower
limb: extensions, refinements, and clinical application. J Vasc Surg.
2005;41:719-24.
14. Bundens WP, Bergan JJ, Halasz NA, et al. The superficial femoral
vein: a potentially lethal misnomer. JAMA 1995; 274:1296–
1298.
15. SmithTP. The superficial femoral vein (letter to the editor-response).
Radiology 2003; 229, 604-606.
16. SobottaJ.ΆτλαςΑνατομικής τουΑνθρώπου.Αθήνα: Γ.Παρισιάνος,
1983;270-274, 309-310.
17. BerganJ.TheVeinBook.London:Elsevier,2007;20-24,39,40,173-
178.
18. D. Mühlberger, L. Morandini, E. Brenner. Frequency and exact
position of valves in the saphenofemoral junction. Phlebologie
.2007;36: 3-7.
19. Ricci S, Cavezzi A. Echo-anatomy of long saphenous vein in
the knee region: proposal for a classification in five anatomical
patterns. Phlebology 2002; 16:111–116.
20. Kockaert M, de Roos KP, van Dijk L, Nijsten T, Neumann M.
Duplication of the great saphenous vein: a definition problem and
implications for therapy. Dermatol Surg. 2012;38:77-82.
21. Caggiati A, Ricci S. The caliber of the human long saphenous vein
and its congenital variations. Ann Anat. 2000;182:195-201.
22. Caggiati A, Mendoza E. Segmental hypoplasia of the great
saphenous vein and varicose disease.Eur J Vasc Endovasc Surg.
2004;28:257-61.
23. Chun MH, Han SH, Chung JW, et al. Anatomical observation
on draining patterns of saphenous tributaries in Korean adults. J
Korean Med Sci. 1992;7:25-33.
24. Kurkcuoglu A, Peker T, Gulekon N. Anatomical, radiological and
histological investigation of the great and small saphenous veins.
Saudi Med J. 2008;29:672-7.
25. Caggiati A. Fascial relations and structure of the tributaries of the
saphenous veins. Surg Radiol Anat. 2000;22:191-6.
26. Romualdo AP, de Moraes Bastos R, Cappucci A et al. Lymph
node veins: a little-known cause of varicose veins. J Vasc Bras.
2008;7:364-369.
27. Rojas Martinez R, Puech-Leão P, Guimarães PM, Netto BM.
Persistence of the embryonic lateral marginal vein: report of two
cases. Rev Hosp Clin Fac Med Sao Paulo. 2001;56:159-62.
28. Caggiati A. Fascial relationships of the short saphenous vein. J
Vasc Surg. 2001;34:241-6.
29. Schweighofer G, Mühlberger D, Brenner E. The anatomy of the
small saphenous vein: fascial and neural relations, saphenofemoral
junction, and valves. J Vasc Surg. 2010;51:982-9.
30. Georgiev M, Myers KA, Belcaro G. The thigh extension of the lesser
saphenous vein: from Giacomini's observations to ultrasound scan
imaging. J Vasc Surg. 2003;37:558-63.
31. Romualdo AP, deMoraes Bastos R, FatioM, et al. Cranial extension
of the small saphenous vein: when caudal flow is normal. Vasc
Bras. 2009;8:166-170.
32. Delis KT, Knaggs AL, Khodabakhsh P. Prevalence, anatomic
patterns, valvular competence, and clinical significance of the
Giacomini vein. J Vasc Surg. 2004;40:1174-83.
33. Kosinski C. Observations on the Superficial Venous System of the
Lower Extremity. J Anat. 1926 ;60:131-42.
34. Creton D. Saphenopopliteal junctions are significantly lower when
incompetent. Embryological hypothesis and surgical implications.
Phlebolymphology 2005;48:347-54.