Anatomie der V. saphena accessoria anterior

Die V. saphena accessoria anterior (VSAA) stört die Patienten insbesondere wegen ihres auffälligen schlängelnden Verlaufs an der Oberschenkelvorderseite. Die anatomischen Besonderheiten der VSAA beeinflussen die hämodynamischen Varianten ebenso wie die klinischen Manifestationen und sollten bei der Festlegung der Behandlungsstrategie berücksichtigt werden. Exemplarisch werden 2 klinische Fälle vorgestellt.

Schlüsselwörter

V. saphena accessoria anterior - Duplex-Anatomie der V. saphena - Saphena-Ultraschallmarker - Hypoplasie der V. saphena magna

Key words

anterior accessory saphenous vein - saphenous ultrasound anatomy - saphenous ultrasound markers - great saphenous vein hypoplasia

• Literatur

• 1 Mühlberger D, Morandini L, Brenner E. Venous valves and major superficial tributary veins near the saphenofemoral junction. J Vasc Surg 2009; 49: 1562-1569
• 2 Garcia-Gimeno M, Rodriguez-Camarero S, Taggarro-Villalba S. et al Duplex mapping of 2036 primary varicose veins. J Vasc Surg 2009; 49: 681-689
• 3 Ricci S, Georgiev M. Ultrasound anatomy of the superficial veins of the lower limb. J Vasc Technol 2002; 26: 183-199
• 4 Zollmann P, Zollmann C, Zollmann P. et al Determining the origin of superficial venous reflux in the groin with duplex ultrasound and implications for varicose vein surgery. J Vasc Surg Venous Lymphat Disord 2017; 5 (01) 82-86 . doi:10.1016/j.jvsv.2016.10.001
• 5 Shin S, Lee BB, Deaton DH. et al Endovenous laser ablation of the anterior accessory greater saphenous vein. Society for Military Vascular Surgery and Chesapeake Vascular Society 36^th Annual Meeting. Bethesda, MD 2009 December 3–5
• 6 Garner JP, Heppell PS, Leopold PW. The lateral accessory saphenous vein – a common cause of recurrent varicose veins. Ann R Coll Surg Engl 2003; 85: 389-392
• 7 De Maesseneer MG. What a phlebologist should know about the anterior accessory saphenous vein?. Phlebolymphology 2019; 26 (02) 66-72
• 8 Caggiati A, Mendoza E, Murena-Schmidt R. et al Anatomy of the superficial veins. In: Mendoza E, Lattimer C, Morrison N. eds Duplex ultrasound of superficial leg veins. Berlin Heidelberg: Springer; 2014: 201-215
• 9 Lemasle P, Uhl JF, Lefebvre-Vilardebo M. et al Veines lympho-ganglionnaires inguinales. Aspects anatomiques et échographiques. Conséquences sur la définition de la néogenèse. Conséquences thérapeutiques. Phlebologie 1999; 52 (03) 263-269
• 10 Cavezzi A, Labropoulos N, Partsch H. et al A duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs – UIP consensus document. Part II. Anatomy. Eur J Vasc Endovasc Surg 2006; 31: 288-299
• 11 Ricci S, Caggiati A. Does a double long saphenous vein exist?. Phlebology 1999; 14: 59-64
• 12 Kockaert M, de Roos KP, van Dijk L. et al Duplication of the great saphenous vein: a definition problem and implications for therapy. Dermatol Surg 2012; 38: 77-82
• 13 Ricci S, Moro l, Ferrini A. et al The E point: a new echographic great saphenous identification sign in specific anatomical variants and applications. Phlebology 2017; 32 (02) 120-124
• 14 Ricci S, Georgiev M, Cappelli M. Définition de la veine saphène accessoire antérieure et de son rôle dans la maladie veriqueuse. Phlébologie 2004; 57: 135-140
• 15 Riabinska O, Osmanov R. Hybrid AASV – GSV vein: incidence and peculiar course. Phlebological review. International Union of Phlebology Chapter Meeting, Krakow 2019 August 25–27, Abstract: 21
• 16 Riabinska O. New ultrasound criterion for differentiation between GSV and AASV. Int Angiol 2018; 37 (Suppl. 01) 43
• 17 Ricci S, Cavezzi A. Echo-anatomy of long saphenous vein in the knee region: proposal for a classification in five anatomical patterns. Phlebology 2002; 16: 111-116
• 18 Caggiati A, Mendoza E. Segmental hypoplasia of the great saphenous vein and varicose disease. Eur J Vasc Endovasc Surg 2004; 28: 257-261
• 19 Caggiati A, Bergan JJ, Gloviczki P. et al Nomenclature of the veins of the lower limb: extensions, refinements, and clinical application. J Vasc Surg 2005; 41 (04) 719-724 . doi:10.1016/j.jvs.2005.01.018
• 20 Gibson K, Khilnani N, Schul M. et al American College of Phlebology Guidelines – Treatment of refluxing accessory saphenous veins. Phlebology 2017; 32 (07) 448-452
• 21 Fink C. Simultaneous preventive ablation of the AASV after thermal ablation of an insufficient great saphenous vein – the SYNCHRONOUS tria. Annual Meeting of the German Society of Phlebology, Leipzig 2020
• 22 Zamboni P, Gianesini S, Menegatti E. et al Great saphenous varicose vein surgery without saphenofemoral junction disconnection. Brit J Surg 2010; 97: 820-825