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The nonsaphenous vein of the popliteal fossa: Prevalence, patterns of reflux, hemodynamic quantification, and clinical significance  Konstantinos T. Delis,

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Presentation on theme: "The nonsaphenous vein of the popliteal fossa: Prevalence, patterns of reflux, hemodynamic quantification, and clinical significance  Konstantinos T. Delis,"— Presentation transcript:

1 The nonsaphenous vein of the popliteal fossa: Prevalence, patterns of reflux, hemodynamic quantification, and clinical significance  Konstantinos T. Delis, MS, PhD, FRCSI, EBSQvasc, Alison L. Knaggs, FFARCSI, DEAA, John T. Hobbs, MD, FRCS, Marianne A. Vandendriessche, MD  Journal of Vascular Surgery  Volume 44, Issue 3, Pages (September 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Varicography of the popliteal fossa vein terminating at the popliteal vein (a) above the saphenopopliteal junction and (b) as a single vessel in a limb with a high small saphenous vein termination. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Color flow duplex imaging of severe venous reflux in the popliteal fossa vein on longitudinal section (a) and in its tributaries at the upper calf on transverse section (b). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 The popliteal fossa vein at the crossing of the deep fascia and its tributaries exposed surgically and looped with elastic slings. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Venous segmental disease score (VSDS) and venous clinical severity score (VCSS) in limbs with a vein of the popliteal fossa (PF; group A) and in limbs without, matched for CEAP clinical class, sex, and age (group C). The VSDS score of group A was significantly higher (P = .02; point estimate, 1; 95% confidence interval, ) than that of group C (median, 2; range, 0.5-6). Similarly, the VCSS score of group A was significantly higher than that of group C (P = .04; point estimate, 2.0; 95% confidence interval, ). IQR, Interquartile range. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Level of termination of the vein of the popliteal fossa (PFV) in 24 limbs in relation to the level of termination of the small saphenous vein (SSV). The PFV terminated at a higher level than the SSV (P = .042; median difference, 1.5 cm; 95% confidence interval, cm). The knee skin crease was taken as a reference (0 cm); terminations below this level were marked as negative. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 Extrafascial distribution of the popliteal fossa (PF) vein and its tributaries in the posterior calf and thigh (24 limbs). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

8 Fig 7 Most prevalent anatomic reflux (arrow) patterns in the lower limb venous system linked with a popliteal fossa vein. GSV, Great saphenous vein; CFV, common femoral vein; FV, femoral vein; Pop V, popliteal vein; SSV, small saphenous vein; ATV, anterior tibial veins; Per V, peroneal veins; PTV, posterior tibial veins; Red frame, popliteal fossa. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

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