Prevalence, anatomic patterns, valvular competence, and clinical significance of the Giacomini vein

Delis, Konstantinos T.; Knaggs, Alison; Khodabakhsh, Pourandokht

doi:10.1016/j.jvs.2004.09.019

Cited by 56 publications

(40 citation statements)

References 23 publications

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“…Another anatomic variation of the SSV was reported. Delis et al [14] reported the anatomic patterns of the SSV with duplex examination. A Giacomini vein was found in 70.4% of limbs.…”

Section: Discussionmentioning

confidence: 99%

The occlusion rate and patterns of saphenous vein after radiofrequency ablation

Choi

Joh

2013

J Korean Surg Soc

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PurposeRadiofrequency ablation (RFA) is a widely accepted to treat the varicose vein. However, outcome studies for occlusion rate and patterns of the saphenous vein after RFA are scarce. The purpose of our study is to report the results of RFA in patients with varicose vein.MethodsWe retrospectively reviewed the clinical outcomes after RFA using ClosureFAST (Covidien) catheter. We evaluated the occlusion rate and patterns with duplex scanning after RFA.ResultsA total of 200 limbs (148 patients) underwent RFA. The truncal veins were ablated in 163 great saphenous veins (GSV) and 41 small saphenous veins (SSVs). The mean age was 52.1 ± 11.9 years and female to male ratio was 125 : 87. At the mean follow-up of 13.9 months, the CEAP score, VCSS, and QoL score were significantly improved 2.33 ± 0.78 to 1.29 ± 0.96 (P < 0.0001), 3.48 ± 0.98 to 0.63 ± 1.16 (P < 0.0001), and 6.91 ± 6.69 to 3.38 ± 4.74 (P < 0.0001), respectively. The occlusion rate was 94.6% (53/56) in GSV and 94.5% (17/18) in SSV. The most common occlusion pattern in GSV was total occlusion of main trunk with patent superficial inferior epigastric vein in 41.1%. And, the most common pattern in SSV was the total occlusion of SSV with stump in 66.7%.ConclusionRFA is an effective modality in the treatment of varicose vein. At the mean follow-up of 13.9 months, the occlusion rate was 94.6%in GSV and 94.5% in SSV. There are several patterns of saphenous occlusion after RFA.

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“…Another anatomic variation of the SSV was reported. Delis et al [14] reported the anatomic patterns of the SSV with duplex examination. A Giacomini vein was found in 70.4% of limbs.…”

Section: Discussionmentioning

confidence: 99%

The occlusion rate and patterns of saphenous vein after radiofrequency ablation

Choi

Joh

2013

J Korean Surg Soc

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“…This affected 5% of the limbs with primary varicose veins and 10% of the limbs with recurrent varicose veins after previous greater saphenous surgery. Other studies also reported that the prevalence of reflux in the VG ranged from 2% to 19% (6, 19-22). However, we could not evaluate the prevalence of VG among all patients who underwent Doppler US because we only evaluated the incidence of an incompetent VG.…”

Section: Discussionmentioning

confidence: 90%

“…The VG is sometimes involved in varicose vein disease, and Delis et al (6) reported that reflux of the VG was found in 10 of 212 limbs (5%), and this was graded as C2 in five limbs and as C3-6 in the remaining five limbs. Such reflux usually occurs with retrograde flow originating in the great saphenous vein (GSV) or pelvic veins.…”

Section: Introductionmentioning

confidence: 99%

Early Results of Endovenous Ablation with a 980-nm Diode Laser for an Incompetent Vein of Giacomini

et al. 2011

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ObjectiveWe wanted to evaluate the effectiveness of endovenous ablation of the incompetent vein of Giacomini using a 980-nm diode laser.Materials and MethodsA total of 18 patients (18 limbs, 4%) had the incompetent vein of Giacomini. Retrograde reflux originating from the great saphenous vein was noted in sixteen limbs and paradoxical diastolic anterograde reflux from the saphenopopliteal junction was observed in two limbs. After tumescent anesthesia, laser ablation using a 980-nm wavelength laser fiber was performed under ultrasound and/or fluoroscopic guidance. Patients were evaluated clinically and with duplex ultrasound at one week and at one, three, six and twelve months after laser ablation for the technical and clinical success.ResultsIn the 18 limbs, the technical success rate was 100%. Continued closure of the vein of Giacomini was seen in 18 of 18 limbs after one month, in 12 of 12 limbs after three and six months and in six of six limbs after twelve months. No recanalization of the vein and no major complications occurred.ConclusionEndovenous laser ablation with a 980-nm wavelength is an effective and safe procedure for treating an incompetent vein of Giacomini.

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“…So, the Giacomini's vein 21,22 (intersaphenous anastomosis) consists of two parts: the thigh extension of the SSV and the anastomosis towards the GSV as first described by Cruveilhier. 23 The sural nerve pedicle…”

Section: Apex Of the Calfmentioning

confidence: 99%

Anatomy and embryology of the small saphenous vein: nerve relationships and implications for treatment

Uhl¹,

Gillot²

2013

Phlebology

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The aim of this paper is to describe the anatomical relations of the small saphenous vein (SSV) in order to define the high-risk zones for the treatment of chronic venous disease. The SSV runs in the saphenous compartment demarcated by two fascia layers: a muscular fascia and a membranous layer of subcutaneous tissue. The clinician should be keenly aware of the anatomical pitfalls related to the close proximity of nerves to the SSV in order to avoid their injury: At the ankle, the origin of the SSV is often plexiform, located deep below the fascia, and the nerve is really stuck to the vein. The apex of the calf is an area of high risk due to the confluence of nerves which perforate the aponeurosis. Moreover, the possible existence of a 'short saphenous artery' which poses a high risk for injection of a sclerosing agent due to a highly variable disposition of this artery surrounding the SSV trunk. For this reason, procedures under echo guidance in this area are mandatory. The popliteal fossa is probably a higher risk zone due to the vicinity of the nerves: the small saphenous arch is close to the tibial nerve, or sometimes the nerve of the medial head of the gastrocnemius muscle. In conclusion, before foam injection or surgery, a triple mapping of the small saphenous territory is mandatory: venous haemodynamical mapping verifying the anatomy that is highly variable, nerve mapping to avoid trauma of the nerves and arterial mapping. This anatomical study will help to define the main high-risk zones.

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Prevalence, anatomic patterns, valvular competence, and clinical significance of the Giacomini vein

Cited by 56 publications

References 23 publications

The occlusion rate and patterns of saphenous vein after radiofrequency ablation

The occlusion rate and patterns of saphenous vein after radiofrequency ablation

Early Results of Endovenous Ablation with a 980-nm Diode Laser for an Incompetent Vein of Giacomini

Anatomy and embryology of the small saphenous vein: nerve relationships and implications for treatment

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