Combined Treatment of the Anterior Accessory Saphenous Vein and the Great Saphenous Vein

Abstract

The anterior accessory saphenous vein (AASV) is a common source of primary and recurrent lower extremity varicose veins. Reflux in the AASV can occur independently or simultaneously with great saphenous vein (GSV) reflux. A number of published reports describe recommendations and treatment of symptomatic refluxing AASVs, but descriptions of combined treatment are sparse. Treatment options for ablation of the AASV include both thermal and non-thermal techniques, and results are equivalent to ablation of the great and small saphenous veins. Although not commonly performed, concomitant ablation of the AASV and the GSV is effective and safe, and can be accomplished with minimal additional time. Concomitant treatment is an appropriate option that should be discussed with the patient.

Anatomical variation of anterior accessory great saphenous vein: a case report

“…The AAGSV is documented to have important clinical implications because of its anatomic variation [5], and due its ability to communicate with the GSV and the common femoral vein. These communications are a potential route of reflux down the AAGSV [6,7].…”