News in the Lower Extremity Veins Morphology

Czech version

Authors: J. Riedlová; T. Smržová
Authors‘ workplace: Ústav anatomie, 3. LF UK, přednosta: prof. MUDr. Josef Stingl, CSc.
Published in: Rozhl. Chir., 2008, roč. 87, č. 10, s. 549-552.
Category: Monothematic special - Original

Overview

This comprehensive article notifies on the latest information concerning the morphology of the lower extremity veins, including their anatomical terminology. As a consequence of vehement development of the diagnostic and therapeutic techniques, the more detailed knowledge of anatomy, terminology, venous system variants and venous wall structure is necessary both for the phlebologists, sonographists and for the surgeons and cardiosurgeons. The histological part brings information about the content of collagen and elastin fibers in all layers of the superficial veins wall and about the arrangement of the vasa vasorum in both normal and varicose vena saphena magna. The anatomical-terminological part enlightens the variability of the superficial venous system of the lower extremity and the completion of the terminology of some superficial and deep veins, veins of the pelvis and perforating veins. The simple and clear anatomical terminology is the base for easy and non-problematic communication and discussion between inland and foreign specialists.

Key words:
nomenclature – vasa vasorum – collagen – elastin – vena saphena magna

Sources

1. Eklöf, B., Rutherford, R. B., Bergan, J., et al. Revision der CEAP-Klassifizierung für chronische Venenleiden. Consensus Statement. Phlebologie, 2005; 34: 220–225.

2. Haviarová, Z., Janega, P., Durdík, S., et al. Comparison of collagen subtype I and III presence in varicose and non-varicose vein walls. Bratisl. Lek. Listy., 2008; 109: 102–105.

3. Haviarová, Z., Weismann, P., Durdík, S., et al. Histomorfologia krčových žil. Prakt. flebol., 2005; 14: 12–15.

4. Haviarová, Z. Zmeny štruktúry žilovej steny u pacientov s chronickými žilovými ochoreniami. 2007. Dizertační práce. Bratislava.

5. Andreotti, L., Cammelli, D. Connective tissue in varicose veins. Angiology, 1979; 30: 798–805.

6. Chello, M., Mastroroberto, P., Zofrea, S., et al. Analysis of collagen and elastin content in primary varicose veins. J. Vasc. Surg., 1994; 20: 490.

7. Gandhi, R. H., Irizarry, E., Nackman, G. B., et al. Analysis of the connective tissue matrix and proteolytic aktivity of primary varicose veins. J. Vasc. Surg., 1993; 18: 814–820.

8. Venturi, M., Bonavina, L., Annoni, F., et al. Biochemical assay of collagen and elastin in the normal and varicose vein wall. J. Surg. Res., 1996; 60: 245–248.

9. Švejcar, J., Prerovský, I., Linhart, J., et al. Content of collagen, elastin and hexosamine in primary varicose veins. Clin. Sci., 1963; 24: 325.

10. Psaila, J. V., Melhuis, J. Viscoelastic propersties and collagen content of the long saphenous vein in normal and varicose veins. Br. J. Surg., 1989; 76: 37–40.

11. Prokopová, V., Kocová, J., Horáková, M., et al. Struktura steny normální a varikózní vény dolní koncetiny. Praktická flebologie, 1998; 7: 34–36.

12. Wali, M. A., Dewan, M., Eid, R. A. Histopathological changes in the wall of varicose veins. Int. Angiol., 2003; 22: 188–193.

13. Wali, M. A., Eid, R. A. Changes of elastic and collagen fibers in varicose veins. Int. Angiol., 2002; 21: 337–343.

14. Kachlík, D., Lametschwandtner, A., Rejmontová, J., et al. Vasa vasorum of the human greater saphenous vein. Surg. Radiol. Anat., 2003; 24: 377–381.

15. Caggiati, A. Fascial relations and structure of the tributaries of the saphenous veins. Surg. Radiol. Anat., 2000; 22: 191–196.

16. Lametschwandtner, A., Minnich, B., Kachlík, D., et al. Threedimensional arrangement and quantitative geometrical data of vasa vasorum in explanted segments of the aged human great saphenous vein: scanning electron microscopy and 3d-morphometry of vascular corrosion cats. Anat. Rec. Part A, 2004; 281a: 1372–1382.

17. Kachlík, D., Báča, V., Stingl, J., et al. Architectonic Arrangement of the Vasa Vasorum of the Human Great Saphenous Vein. J. Vasc. Res., 2007; 44: 157–166.

18. Brook, W. H. Vasa vasorum of veins in dog and man. Angiology, 1977; 28: 351–360.

19. Rotty, T. P. The path of retrograde flow from the lumen of the lateral saphenous vein of the dog to its vasa vasorum. Microvasc Res, 1989; 37: 119–122.

20. Kachlík, D., Stingl, J., Sosna, B., et al. Morphological features of vasa vasorum in pathologically changed human great saphenous vein and its tributaries. Vasa, 2008, 37 (2).: 127–136.

21. Kachlík, D., Báča, V., Fára, P., et al. Cévní zásobení stěny normální a varikózní vena saphena magna. Prak. flebol., 2006;15: 90–94.

22. Kachlík, D., Báča, V., Fára, P., et al. Anatomy of the vasa vasorum of the great saphenous vein in normal and pathological conditions. Erbetegségek orvostudományi szakfolyóirat. Erbetegsegek, 2007; 14: 117–122.

23. Kachlík, D., Stingl, J., Fára, P., et al. Srovnání vasa vasorum normální a varikózně změněné lidské vena saphena magna. In: Polák, Š., Pospíšilová, V., Varga, I. (Eds).: Morfológia v súčasnosti. Bratislava, Univerzita Komenského, 2007: 189–193.

24. Curri, B. S. The role of vasa vasorum in the genesis of varicose veins. Phlebologie (Paris), 1992; 20: 38–42.

25. Maurice, G., Wang, X., Lehalle, B., et al. Modélisation de la déformation élastique et de la résistance

26. Michiels, C., Bouaziz, N., Remacle, J. Role of the endothelium and blood stasis in the appearance of varicose veins. Int. Angol., 2001; 21: 1–8.

27. FCAT: Terminologia anatomica. Stuttgart, Thieme Verlag, 1998. (CD-ROM).

28. Kachlík, D., Báča, V., Bozděchová, I., et al. Anatomical Terminology and Nomenclature: Past, Presence and Highlights. Surg. Rad. Anat., 2008; 30 (6): 459–466.

http://dx.doi.org/10.1007/s00276-008-0357-y

29. Kachlík, D., Bozděchová, I., Čech, P., et al. Deset let nového anatomického názvosloví. Čas. Lék. Čes., 2008; 147: 287–294.

30. Caggiati, A., Bergan, J., Gloviczki, P., et al. Nomenclature of the veins of the lower limbs: An international interdisciplinary consensus statement. J. Vasc. Surg., 2002; 36: 416–422.

31. Caggiati, A., Bergan, J., Gloviczki, P., et al. International Interdisciplinary Consensus Committee on Venouš Anatomical Terminology: Nomenclature of the veins of the lower limb: extensions, refinements, and clinical application. J. Vasc. Surg., 2005; 41: 719–724.

32. Wendell-Smith, C. P. Fascia: an illustrative problém in international terminology. Surg. Radiol. Anat., 1997; 19: 273–277.

33. Caggiati, A. Fascial relationships of the long saphenous vein. Circulation, 1999; 100: 2547–2549.

34. Caggiati, A. Fascial relationships of the short saphenous vein. J. Vasc. Surg., 2001; 34: 241–246.

35. Becker, R. Dictionary of vascular medicine terms. Vol. 1 and 2, Paris, Elsevier, 2006.

36. Cavezzi, A., Labropoulos, N., Partsch, H., et al. 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., 2005; 31: 288–299.

37. Zamboni, P., Cappelli, M., Marcellino, M. G., et al. Does a varicose saphenous vein exist? Phlebology, 1997; 12: 74–77.

38. Mühlberger, D., Morandini, L., Brenner, E. Frequency and exact position of valves in the saphenofemoral junction. Phlebologie, 2007; 36: 3–7.

39. Veverková, L. The saphenofemoral junction: to ligate or not to ligate? Medicographia, 2008; 30, 2. Dostupný z WWW:

http://www.medicographia.com/html/static/html/issues/article_latest.asp?page=issues/ 95/art_10/p_l

40. Kachlík, D., Pecháček, V., Báča, V., et al. Nové názvosloví povrchových žil dolní končetiny. Prakt. flebol., 2008; 17: 4–12.

41. Schadeck, M. Sclerotherapy of small saphenous vein: how to avoid bad results. Phlebologie, 2004; 57: 165–169.

42. Denck, H. Primäre und sekundäre Varicosis. Langenbeck‘s Archives of Surgery, 1975; 339: 631–639.

43. Meissner, M. H. Lower Extremity Venous Anatomy. Semin. Intervent. Radiol., 2005; 22: 147–156.

44. Staubesand, J., Steel, F. The official nomenclature of the superficial veins of the lower limb: A case for revision. Clin. Anat., 1995; 8: 426–428.

45. Kachlík, D., Čech, P. České anatomické názvosloví [on-line]. Praha : Ústav anatomie 3. LF UK, c2004. [cit. 2008-10-10]. Dostupný na WWW: .