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Related Experiment Videos

Lower extremity superficial venous aneurysms.

Luigi Pascarella1, Maraya Al-Tuwaijri, John J Bergan

  • 1Department of Surgery, University of California-San Diego State University, San Diego, CA, USA.

Annals of Vascular Surgery
|February 17, 2005
PubMed
Summary

Superficial venous aneurysms of the saphenous vein are common, particularly in women. Elevated BMI in men and saphenous vein reflux correlate with aneurysm characteristics, impacting surgical decisions.

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Area of Science:

  • Vascular Surgery
  • Phlebology
  • Diagnostic Ultrasound

Background:

  • Deep venous aneurysms receive more attention due to thrombosis and pulmonary embolism risks.
  • Superficial venous aneurysms are often overlooked but may be prevalent.

Purpose of the Study:

  • To evaluate the prevalence and characteristics of superficial venous aneurysms in the saphenous vein system.
  • To identify correlations between aneurysm types, patient demographics, and venous reflux.

Main Methods:

  • Consecutive patient data collection during chronic venous insufficiency surgery evaluation.
  • Venous reflux examination using duplex Doppler ultrasound with patients in a standing position.
  • Analysis of great and small saphenous veins and tributaries, defining reflux >0.5 sec as positive.

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Main Results:

  • 65 superficial venous aneurysms found in 43 patients (33 female, 10 male), average age 53.
  • Aneurysms classified into four types based on location; Type I (proximal) and Type II (distal thigh) were most common.
  • Strong correlations observed with female gender, elevated BMI in men, and greater saphenous vein reflux for Type III aneurysms.

Conclusions:

  • Superficial saphenous vein aneurysms are common and their classification is important.
  • Findings suggest these aneurysms may influence the selection of surgical treatments for venous insufficiency.