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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
Veins along the course of the sciatic nerve
Nicos Labropoulos1, Apostolos K Tassiopoulos, Antonios P Gasparis
1Department of Surgery, Division of Vascular Surgery, Stony Brook University Medical Center, Stony Brook, NY, USA. nlabrop@yahoo.com
Journal of Vascular Surgery
|January 13, 2009
Summary
Varicose veins along the sciatic nerve (SN) cause significant nerve pain and symptoms. Treating these incompetent veins offers substantial symptom relief, with manageable recurrence rates.
Area of Science:
- Vascular Surgery
- Neurology
- Anatomy
Background:
- Chronic venous disease can manifest with unusual symptoms due to anatomical variations.
- Incompetent veins near the sciatic nerve (SN) may cause neuropathic symptoms.
Purpose of the Study:
- To describe anatomical variations, symptoms, and pathophysiology of SN venous incompetence.
- To evaluate treatment outcomes for varicose veins associated with the SN.
Main Methods:
- Retrospective analysis of prospectively collected data from patients with chronic venous disease and SN varicosities.
- Duplex ultrasound evaluation of incompetent veins along the SN and its branches.
- Assessment of symptoms and treatment results, including follow-up evaluations.
Main Results:
- 24 limbs in 21 patients showed varicosities along the SN and its branches, with symptoms lasting an average of 4.5 years.
- Reflux was detected in 18 SN veins, 3 persistent sciatic veins, and 3 tibial nerve veins, all associated with symptomatic varicosities.
- Treatment (ligation, phlebectomy, sclerotherapy) provided symptom relief or improvement in 17 out of 19 treated limbs, with manageable recurrence.
Conclusions:
- Reflux in sciatic and tibial nerve veins is a common cause of significant neuropathic symptoms.
- Treatment of these varicose veins effectively alleviates symptoms.
- Recurrence or residual varicosities can be managed effectively.
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