The Giacomini vein – so small and inconspicuous?

Abstract

In Giacomini’s first description (1873), a vein was reported that runs via the popliteal fossa (without entering the popliteal vein) to the dorsal thigh and then passed to join the great saphenous vein. Since then, numerous other types of termination (including those that lead into the popliteal vein) have been published. In clinical practice, however, this vein receives little attention. The probability of detecting an insufficiency of the Giacomini vein is almost 12 times higher, especially in the presence of an insufficiency of the small saphenous vein. There are two reflux types of Giacomini’s vein. In retrograde reflux, venous blood enters the small saphenous vein via the great saphenous vein, the iliac veins or the perforating veins of the thigh. In the much rarer antegrade reflux, a paradoxical (ascending) reflux occurs in the Giacomini’s vein during muscular diastole. Surgical therapy focused exclusively on the saphenous vein without consideration of the reflux types may possibly result in overtreatment of the patient and should be avoided in an age of therapeutic diversity and a vein-preserving approach.

Due to the anatomical narrowing of the popliteal fossa and the increasing popularity of endoluminal-thermal procedures in the past, knowledge of the topographical anatomy is essential, especially to avoid neurological complications.

Key words

giacomini vein - femoropopliteal vein - small saphenous vein - paradoxical reflux

Schlüsselwörter

Vena giacomini - V. femoropoplitea - V. saphena parva - paradoxer Reflux

Publikationsverlauf

Artikel online veröffentlicht:
18. Januar 2021

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