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The impact of isolated lesser saphenous vein system incompetence on clinical signs and symptoms of chronic venous disease Nicos Labropoulos, PhDa, Athanasios D. Giannoukas, MDb, Kostas Delis, MDc, Steven S. Kang, MDa, M.Ashraf Mansour, MDa, Jeffrey Buckman, MDd, Asterios Katsamouris, MDb, Andrew N. Nicolaides, MS, FRCSc, Fred N. Littooy, MDa, William H. Baker, MDa Journal of Vascular Surgery Volume 32, Issue 5, Pages (November 2000) DOI: /mva Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions
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LSV system. The LSV terminated within 5 cm above the popliteal skin crease in 61% of limbs. It continued higher up in the thigh joining GSV and superficial femoral, deep femoral, muscular, vulvar, and gluteal veins with or without an SPJ present in 32%. Connection with popliteal vein was present overall in 76%. In 7% of limbs it joined gastrocnemial veins and united with popliteal vein at usual level. There were at least three types of connection with gastrocnemial vein. Most common connection between GSV and LSV at calf was through a posteromedial tributary coursing from medial knee or upper medial calf (GSV site) to posterior middle calf (LSV site). Duplication of LSV was rare (2.2%). Journal of Vascular Surgery , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions
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