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Published on: February 10, 2023
Is variation in posterior tibial veins a risk factor for deep-vein thrombosis?
Kyu-Ho Yi1,2, Hee-Jin Kim2,3
1Inje County Public Health Center, Inje, Republic of Korea.
Insights
Posterior tibial vein anatomical variations are linked to deep vein thrombosis risk. Classifying these variations aids in guiding catheter-directed thrombolysis for better patient outcomes.
Area of Science:
- Vascular Anatomy
- Thrombosis Research
Background:
- Posterior tibial vein variations are proposed risk factors for deep vein thrombosis (DVT).
- Anatomical classification of the posterior tibial vein is crucial for effective catheter-directed thrombolysis.
Purpose of the Study:
- To classify anatomical variations of the posterior tibial vein.
- To correlate these variations with deep vein thrombosis risk.
- To inform the antegrade approach in catheter-directed thrombolysis.
Main Methods:
- Dissection of 134 legs from Korean and Thai cadavers.
- Classification of posterior tibial veins into four types based on proximal and distal vein counts.
Main Results:
- Type Ia was the most common (64/134).
- Type IIa (28/134), Type Ib (24/134), and Type IIb (16/134) followed.
- Significant variations were observed in the posterior tibial vein, unlike the anterior tibial and fibular veins.
Conclusions:
- Posterior tibial vein exhibits considerable anatomical variability.
- Type IIb and IIa variations may increase thrombosis risk and lead to hidden symptoms via collateral formation.
- A classification system for posterior tibial vein variations can guide DVT treatment strategies.
Introduction:
This study proposes variations in the posterior tibial vein as one of the risk factors for deep-vein thrombosis. Understanding the anatomical classification of the posterior tibial vein would guide the antegrade approach of catheter-directed thrombolysis.
Materials And Methods:
One hundred thirty-four legs from Korean and Thai cadavers were dissected. The posterior tibial veins were classified into four types according to the number of proximal and distal veins.
Results:
The most common type was type Ia (64/134), followed by type IIa (28/134), type Ib (24/134), and type IIb (16/134).
Conclusions:
The anterior tibial and fibular veins had exactly two paired veins; however, the posterior tibial vein had many variations. We assume that patients with type IIb and IIa have a higher risk of thrombosis and hidden symptoms due to collateral formation. Additionally, the classification of the posterior tibial vein and dividing into proximal and distal posterior tibial vein would help practitioners predict the course and guide the application of catheter-directed thrombolysis.
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