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Phlebologie 2021; 50(01): 24-41
DOI: 10.1055/a-1246-5731
CME-Fortbildung | Schwerpunktthema

Ultrasound Anatomy of the accessory anterior saphenous vein

Article in several languages: deutsch | English
Oksana Riabinska
,
Erika Mendoza
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The anterior accessory saphenous vein (AASV) often bothers the patients due to its meandering appearance on the ventral aspect of the thigh. Anatomic variations of the normal vein influence the hemodynamic of varicose disease, as well as the clinics and should be known and considered when treating a patient. This is exposed in two clinical cases.

Key words

anterior accessory saphenous vein - saphenous ultrasound anatomy - saphenous ultrasound markers - great saphenous vein hypoplasia

Schlüsselwörter

V. saphena accessoria anterior - Duplex-Anatomie der V. saphena - Saphena-Ultraschallmarker - Hypoplasie der V. saphena magna


Publication History

Article published online:
17 February 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Mühlberger D, Morandini L, Brenner E. Venous valves and major superficial tributary veins near the saphenofemoral junction. J Vasc Surg 2009; 49: 1562-1569
    CrossrefPubMedSearch in Google Scholar
  • 2 Garcia-Gimeno M, Rodriguez-Camarero S, Taggarro-Villalba S. et al Duplex mapping of 2036 primary varicose veins. J Vasc Surg 2009; 49: 681-689
    CrossrefPubMedSearch in Google Scholar
  • 3 Ricci S, Georgiev M. Ultrasound anatomy of the superficial veins of the lower limb. J Vasc Technol 2002; 26: 183-199
    Search in Google Scholar
  • 4 Zollmann P, Zollmann C, Zollmann P. et al Determining the origin of superficial venous reflux in the groin with duplex ultrasound and implications for varicose vein surgery. J Vasc Surg Venous Lymphat Disord 2017; 5 (01) 82-86 . doi:10.1016/j.jvsv.2016.10.001
    CrossrefPubMedSearch in Google Scholar
  • 5 Shin S, Lee BB, Deaton DH. et al Endovenous laser ablation of the anterior accessory greater saphenous vein. Society for Military Vascular Surgery and Chesapeake Vascular Society 36th Annual Meeting. Bethesda, MD 2009 December 3–5
  • 6 Garner JP, Heppell PS, Leopold PW. The lateral accessory saphenous vein – a common cause of recurrent varicose veins. Ann R Coll Surg Engl 2003; 85: 389-392
    CrossrefPubMedSearch in Google Scholar
  • 7 De Maesseneer MG. What a phlebologist should know about the anterior accessory saphenous vein?. Phlebolymphology 2019; 26 (02) 66-72
    Search in Google Scholar
  • 8 Caggiati A, Mendoza E, Murena-Schmidt R. et al Anatomy of the superficial veins. In: Mendoza E, Lattimer C, Morrison N. eds Duplex ultrasound of superficial leg veins. Berlin Heidelberg: Springer; 2014: 201-215
    Search in Google Scholar
  • 9 Lemasle P, Uhl JF, Lefebvre-Vilardebo M. et al Veines lympho-ganglionnaires inguinales. Aspects anatomiques et échographiques. Conséquences sur la définition de la néogenèse. Conséquences thérapeutiques. Phlebologie 1999; 52 (03) 263-269
    Search in Google Scholar
  • 10 Cavezzi A, Labropoulos N, Partsch H. et al A 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: 288-299
    CrossrefPubMedSearch in Google Scholar
  • 11 Ricci S, Caggiati A. Does a double long saphenous vein exist?. Phlebology 1999; 14: 59-64
    CrossrefSearch in Google Scholar
  • 12 Kockaert M, de Roos KP, van Dijk L. et al Duplication of the great saphenous vein: a definition problem and implications for therapy. Dermatol Surg 2012; 38: 77-82
    CrossrefPubMedSearch in Google Scholar
  • 13 Ricci S, Moro l, Ferrini A. et al The E point: a new echographic great saphenous identification sign in specific anatomical variants and applications. Phlebology 2017; 32 (02) 120-124
    CrossrefPubMedSearch in Google Scholar
  • 14 Ricci S, Georgiev M, Cappelli M. Définition de la veine saphène accessoire antérieure et de son rôle dans la maladie veriqueuse. Phlébologie 2004; 57: 135-140
    Search in Google Scholar
  • 15 Riabinska O, Osmanov R. Hybrid AASV – GSV vein: incidence and peculiar course. Phlebological review. International Union of Phlebology Chapter Meeting, Krakow 2019 August 25–27, Abstract: 21
  • 16 Riabinska O. New ultrasound criterion for differentiation between GSV and AASV. Int Angiol 2018; 37 (Suppl. 01) 43
    Search in Google Scholar
  • 17 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
    CrossrefSearch in Google Scholar
  • 18 Caggiati A, Mendoza E. Segmental hypoplasia of the great saphenous vein and varicose disease. Eur J Vasc Endovasc Surg 2004; 28: 257-261
    CrossrefPubMedSearch in Google Scholar
  • 19 Caggiati A, Bergan JJ, Gloviczki P. et al Nomenclature of the veins of the lower limb: extensions, refinements, and clinical application. J Vasc Surg 2005; 41 (04) 719-724 . doi:10.1016/j.jvs.2005.01.018
    CrossrefPubMedSearch in Google Scholar
  • 20 Gibson K, Khilnani N, Schul M. et al American College of Phlebology Guidelines – Treatment of refluxing accessory saphenous veins. Phlebology 2017; 32 (07) 448-452
    CrossrefPubMedSearch in Google Scholar
  • 21 Fink C. Simultaneous preventive ablation of the AASV after thermal ablation of an insufficient great saphenous vein – the SYNCHRONOUS tria. Annual Meeting of the German Society of Phlebology, Leipzig 2020
  • 22 Zamboni P, Gianesini S, Menegatti E. et al Great saphenous varicose vein surgery without saphenofemoral junction disconnection. Brit J Surg 2010; 97: 820-825
    CrossrefPubMedSearch in Google Scholar