VARIANT ANATOMY OF THE ANTERIOR TIBIAL VEINS AND ITS CLINICAL IMPLICATIONS



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Variant anatomy of the anterior tibial veins (ATV) was studied using 22 preparations of the lower extremities of men and . The great variability of the ATV anatomic patterns was established, which was characterized by the presence of numerous anastomoses between the main trunks and lengthy regions of duplication, creating an impression of a larger number of venous trunks. In most specimens, ATV were observed to originate as two main trunks. In 34% of cases veins had a scattered pattern. Perforating veins of the anterior musculofascial compartment penetrated the fascia in two main directions. Most frequently perforators appeared at the border between the lower and the middle thirds of the calf and between the upper and the middle thirds, their frequency amounting to 18.1% at both levels. In 45.5% of the samples, the tributaries were found that connected ATV with deep venous system of the back of the calf. The results obtained allow to plan the interventions on perforators of the anterior musculofascial compartment and ATV.

References

  1. Вахитов М.Ш. и Большаков О.П. Анатомические предпосылки развития варикозной болезни вен нижних конечностей. В кн.: Материалы Республ. научн.-практ. конф. «Актуальные вопросы флебологии». Витебск, изд. Витебск. гос. мед. ун-та, 2007, с. 5-8.
  2. Иванов В.В. и Друянов Б.М. Роль функциональной флебографии в диагностике хронической постфлебитической венозной недостаточности нижних конечностей. Хирургия, 1992, № 5-6, с. 49-52.
  3. Савельев В.С., Константинова Г.Д. и Жуков Е.А. Операция разобщения в лечении больных посттромботической болезнью нижних конечностей. Хирургия, 1981, № 11, с. 121-122.
  4. Сушков С.А., Усович А.К., Небылицин Ю.С. и др. Вариантная анатомия задних большеберцовых вен. Вестн. Витебск. гос. мед. ун-та, 2006, № 3, с. 13-19.
  5. Флебология: Руководство для врачей. Под ред. В.С. Савельева. М., Медицина, 2001.
  6. Ярославцев Б.М. Анатомическая техника. Фрунзе, изд. Киргизск. гос. ун-та, 1961.
  7. Felder D., Murphy T.O. and Ring D.A. A posterior subfascial approach to the communicating veins of the leg. Surg. Gynec. Obstet., 1955, v. 100, № 6, p. 730-733.
  8. Hauer G. The endoscopic subfascial division of the perforating veins: preliminary report. Vasa. 1985, v. 14, p. 995-975.
  9. Quinlan D.J., Alikhan R., Gishen P. and Sidhu P.S. Variations in lower limb venous anatomy: implications for US diagnosis of deep vein thrombosis. Radiol., 2003, v. 228, № 2, p. 443-448.
  10. Rijcke de P.A., Hop W.C. and Wittens C.H. Subfascial endoscopic perforating vein surgery as treatment for lateral perforating vein incompetence and venous ulceration. J. Vasc. Surg., 2003, v. 38, № 4, p. 799-803.
  11. Rijcke de P.A., Schenk T., van Gent W.B., Kleinrensink G.J. and Wittens C.H. Surgical anatomy for subfascial endoscopic perforating vein surgery of laterally located perforating veins. J. Vasc. Surg., 2003, v. 38, № 6, p. 1349-1352.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2010 Eco-Vector


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: № 0110212 от 08.02.1993.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies