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Erschienen in: Annals of Vascular Surgery 1/2005

01.01.2005 | Clinical Research

Lower Extremity Superficial Venous Aneurysms

verfasst von: MD Luigi Pascarella, MD Maraya Al-Tuwaijri, MD, FACS, Hon. FRCS (Eng.) John J. Bergan, RVT Lisa M. Mekenas

Erschienen in: Annals of Vascular Surgery | Ausgabe 1/2005

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Abstract

Venous aneurysms are not rare. But most attention has been paid to deep venous aneurysms. Because of their propensity to thrombose and cause pulmonary embolization. Increased availability of duplex Doppler ultrasound has allowed total evaluation of all venous segments in patients undergoing surgery for chronic venous insufficiency. In this study, patients were recorded consecutively and the venous reflux examination was carried out with the patient standing. The superficial venous system was studied with special interrogation of the great and small saphenous veins and their tributaries. Reflux >0.5 sec was recorded as positive. Data were analyzed using the Spearman’s correlation index and the student’s t-test. A strong correlation was considered for values of ρ > 0.6. A total of 65 superficial venous aneurysms of the saphenous vein systems were found in 43 patients (33 women and 10 men) with an average age of 53 years (range, 34-70). The mean body mass index (BMI) overall was 25 ± 4.6. The BMI in men was 29.5 ± 2.5. The BMI in women was 23.6 ± 4 (p < 0.05). Aneurysms of the saphenous systems were classified into four types. Type I aneurysms (52%) were located in the proximal third of the saphenous vein, not at the saphenofemoral junction but instead just distal to the subterminal valve. Type II aneurysms were located in the shaft of the saphenous vein in the distal third of the thigh (35%). The third classification (type III) of superficial saphenous vein aneurysms was an occurrence of types I and II in the same lower extremity (3 patients/43 patients). Superficial venous aneurysms of the short saphenous system were found and were classified as type IV (6%.) Strong correlations were found with female gender and a very strong correlation of larger aneurysms was found with an elevated BMI in men. There was a so a strong correlation between type III aneurysms of the proximal and distal thigh greater saphenous vein and greater saphenous vein reflux. Aneurysms of the saphenous veins are common and this may have an impact on choice of surgical treatment.
Literatur
1.
Zurück zum Zitat Gennes, C, Verny, C, Ankri, I,  et al. 1989Anévrisme veineux poplite révéle par des embolies pulmonaires récidivantes: aspect échographique, phlébographique, tomodensitom étrique et en résonance magnétique nucléaireJ Mal Vasc14343346 PubMed Gennes, C, Verny, C, Ankri, I,  et al. 1989Anévrisme veineux poplite révéle par des embolies pulmonaires récidivantes: aspect échographique, phlébographique, tomodensitom étrique et en résonance magnétique nucléaireJ Mal Vasc14343346 PubMed
2.
Zurück zum Zitat Loose DA, Loose JR, Weber J. Venous aneurysms: when and how to be treated? Int Angiol 2001;Suppl:20 Loose DA, Loose JR, Weber J. Venous aneurysms: when and how to be treated? Int Angiol 2001;Suppl:20
3.
Zurück zum Zitat Vollmar, JF, Paes, E, Iron, B, Friedrich, JM, Heymer, B 1989Aneurysmatische Transformation des Venensystems bei venosen Angiodysplasien der GliedmassenVasa1896111 PubMed Vollmar, JF, Paes, E, Iron, B, Friedrich, JM, Heymer, B 1989Aneurysmatische Transformation des Venensystems bei venosen Angiodysplasien der GliedmassenVasa1896111 PubMed
4.
Zurück zum Zitat Cotton, LT 1961Gross anatomy and development of varicose veinsJ Surg48589596 CrossRef Cotton, LT 1961Gross anatomy and development of varicose veinsJ Surg48589596 CrossRef
5.
Zurück zum Zitat Rose, SS 1999Goldman, MPWeiss, RABergan, JJ eds. Varicose Veins and Telangiectasias: Diagnosis and Management2Quality Medical PublishingSt. Louis29 Rose, SS 1999Goldman, MPWeiss, RABergan, JJ eds. Varicose Veins and Telangiectasias: Diagnosis and Management2Quality Medical PublishingSt. Louis29
6.
Zurück zum Zitat Tibbs, DJ 1992Varicose Veins and Related DisordersButterworth HeinemannLondon1516 Tibbs, DJ 1992Varicose Veins and Related DisordersButterworth HeinemannLondon1516
7.
Zurück zum Zitat Holman, E 1954The obscure physiology of poststenotic dilatation: its relation to the development of aneurysmsJ Thorac Surg28109111 PubMed Holman, E 1954The obscure physiology of poststenotic dilatation: its relation to the development of aneurysmsJ Thorac Surg28109111 PubMed
8.
Zurück zum Zitat Holman, E 1954Circumscribed dilation of an artery immediately distal to a partially occluding band: poststenotic dilatationSurgery36324 PubMed Holman, E 1954Circumscribed dilation of an artery immediately distal to a partially occluding band: poststenotic dilatationSurgery36324 PubMed
9.
Zurück zum Zitat Holman, E, Peniston, W 1955Hydrodynamic factors in production of aneurysmsAm J Surg90200209 PubMed Holman, E, Peniston, W 1955Hydrodynamic factors in production of aneurysmsAm J Surg90200209 PubMed
10.
Zurück zum Zitat Johnston, KW, Rutherford, RB, Tilson, MD 1991Suggested standards for reporting on arterial aneurysmsJ Vasc Surg13452457 CrossRefPubMed Johnston, KW, Rutherford, RB, Tilson, MD 1991Suggested standards for reporting on arterial aneurysmsJ Vasc Surg13452457 CrossRefPubMed
11.
Zurück zum Zitat Mekenas, L, Bergan, JJ 2002Venous reflux examination: technique using miniaturized ultrasound scanningJ Vasc Tech26139144 Mekenas, L, Bergan, JJ 2002Venous reflux examination: technique using miniaturized ultrasound scanningJ Vasc Tech26139144
12.
Zurück zum Zitat Sugarman, H, Windsor, A, Bessos, M, Wolfer, L 1997Intraabdominal pressure, sagital abdominal diameter and obesity co-morbidityJ Intern Med2417179 CrossRefPubMed Sugarman, H, Windsor, A, Bessos, M, Wolfer, L 1997Intraabdominal pressure, sagital abdominal diameter and obesity co-morbidityJ Intern Med2417179 CrossRefPubMed
13.
Zurück zum Zitat Wali, MA, Dewan, M, Eid, RA 2003Histopathologic changes in the wall of varicose veinsInt Angiol22188193 PubMed Wali, MA, Dewan, M, Eid, RA 2003Histopathologic changes in the wall of varicose veinsInt Angiol22188193 PubMed
14.
Zurück zum Zitat Pascarella L, Schmid-Schönbein GW, Bergan J. An animal model of venous hypertension: the role of inflammation in venous valve failure. (In press). Pascarella L, Schmid-Schönbein GW, Bergan J. An animal model of venous hypertension: the role of inflammation in venous valve failure. (In press).
Metadaten
Titel
Lower Extremity Superficial Venous Aneurysms
verfasst von
MD Luigi Pascarella
MD Maraya Al-Tuwaijri
MD, FACS, Hon. FRCS (Eng.) John J. Bergan
RVT Lisa M. Mekenas
Publikationsdatum
01.01.2005
Erschienen in
Annals of Vascular Surgery / Ausgabe 1/2005
Print ISSN: 0890-5096
Elektronische ISSN: 1615-5947
DOI
https://doi.org/10.1007/s10016-004-0135-1