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.

Clinical Anatomy (New York, N.Y.)
|September 30, 2020
PubMed

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.
Abstract

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