Although the surgical treatment of ligation and stripping of the greater saphenous veins
has been fairly standard for almost the past 100 years,9 more recent studies have questioned this approach.
11) Ligation with stripping of the great saphenous vein
results in significant improvement in venous hemodynamics, may eliminate concomitant deep venous reflux, provides symptomatic relief, and assists in ulcer healing.
Treatment of varicose long saphenous veins
with sclerosant in microfoam form: long-term outcomes.
The catheter is then slowly withdrawn, and ethanol (1-6 mL) is infused throughout the length of the saphenous vein
After skeletonization if there is still insufficient length or flow in the ITA graft than, saphenous vein
interposition can be used to overcome such a difficult problem for the no-touch aorta technique.
However, when the spider veins are found in the distribution of a large troncal vein, such as the great saphenous vein
(GSV), it is recommended that DUS be performed.
The ideal candidate is one who has varicosities clearly associated with incompetence of the large saphenous veins
and relatively straight veins.
The results showed great saphenous vein
atresia without blood flow signals, thrombosis, and enhanced echogenic dots and bands in the lumen of the blood vessel, as well as a noticeably thickened, coarse blood vessel wall with damaged integrity.
TRIBUTARIES: Just below the knee the great saphenous vein
receives major tributaries, the posterior arch vein the anterior veins of the leg ascend diagonally across the skin and join either the great saphenous vein
or posterior arch vein.
A molecule that blocks a key transcription factor in smooth muscle cells can greatly reduce neointimal hyperplasia, thus averting vessel narrowing and atheroma formation in saphenous vein