Systematic review and meta-analysis of the anatomic variants of the saphenofemoral junction

Cirocchi, Roberto; Henry, Brandon Michael; Rambotti, Massimo; Tomaszewski, Krzysztof A.; Cappelli, Massimo; Vettorello, G. F.; Pistilli, Alessandra; D’Andrea, Vito; Amato, Bruno; Randolph, Justus

doi:10.1016/j.jvsv.2018.06.006

Cited by 11 publications

(11 citation statements)

References 28 publications

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“…28 Others stated that in approximately 44% there exists at least one tributary which enters the CFV directly. 29 We can confirm this aspect with these data as we have found at least one minor tributary in the SFA in 57%. Furthermore, experienced researchers have found at least one tributary of the CFV in 40% in a series of 600 legs during varicose vein surgery even though the deep and posterior tributaries of the CFV could not be well explored (M. Lefebvre-Vilardebo, abstracts of UIP congress Rio 1999, unpublished data).…”

Section: Discussionsupporting

confidence: 79%

Minor tributary veins of the common femoral vein near the saphenofemoral junction – A postmortem study

et al. 2020

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Objectives Recurrent varicose veins after surgery are a frequent burden and the saphenofemoral junction is the most common source of reflux. Pre-existing branches of the common femoral vein near the saphenofemoral junction, which may increase due to haemodynamic or other reasons, could play a role in the development of recurrent varices. There exist only a few anatomical data about the prevalence of these minor venous tributaries of the common femoral vein near the saphenofemoral junction. Therefore, this study aimed to elucidate their frequency and distribution. Method A total of 59 veins from 35 anatomical donors were dissected. The common femoral vein with the adherent parts of the profunda femoris vein and the great saphenous vein was exposed and analysed ex situ. The number of minor tributaries to the common femoral vein was counted and their distances to the saphenofemoral junction as well their diameters were measured. Results We could identify up to 10 minor tributaries of the common femoral vein below the level of the great saphenous vein as far as 6 cm distally and up to four veins above the level as far as 5 cm proximally. The mean diameters of these vessels ranged from 0.5 to 11.7 mm. Most of these vessels were located near the saphenofemoral junction and 3 cm distally. Directly opposite to the opening of the great saphenous vein we could find at least one minor tributary of the common femoral vein in 57%. Conclusions There exist a vast number of minor tributaries of the common femoral vein and they are mainly located near the saphenofemoral junction. Nevertheless, their role in the development of recurrent varices is still unclear and further studies are necessary.

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Section: Discussionsupporting

confidence: 79%

Minor tributary veins of the common femoral vein near the saphenofemoral junction – A postmortem study

et al. 2020

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“…Numerous anatomic variations of GSV and SFJ have been described in the literature, such as hypoplasia, duplication, ectasia, and different tributary veins. 1,2 They may be challenging for radiologists and clinicians, and should be searched for and reported to ensure proper surgical management. In this case series, we describe a rare SFJ variation with an approximate prevalence of 3 per 10 000.…”

Section: Discussionmentioning

confidence: 99%

“…Several anatomical variations of the GSV and SFJ have been described in the literature . They include SFJ duplication or ectasia, and different numbers of venous tributaries .…”

Section: Introductionmentioning

confidence: 99%

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Inter‐arterial saphenofemoral junction: A rare anatomical variation

İdilman

2019

J of Clinical Ultrasound

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“…Routine use of ultrasound is one of the major factors contributing to the success of endovascular techniques by increasing anatomical precision. However, the anatomy of the saphenofemoral junction (SFJ) has been shown to be quite heterogeneous with vein duplications, bifid junctions, or ectasia present in over 10% of individuals [3]. These findings indicate that ultrasound assessments should be performed prior to a surgical or EVA procedure and suggest that HLS, if performed correctly, may be more efficient than EVA at removing different anatomical variants of the SFJ.…”

Section: Technical Improvements To Endovenous and Surgical Proceduresmentioning

confidence: 99%

Advanced Stages of Chronic Venous Disease: Evolution of Surgical Techniques and Advantages of Associated Medical Treatment

Lurie¹

2020

Adv Ther

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Contemporary interventional treatment of primary chronic venous disease (CVD) is mainly focused on the treatment of venous reflux. The long-term results of endovenous ablation (EVA) and high ligation and stripping are not different with respect to varicose vein recurrence, and this recurrence appears to be a manifestation of disease progression. Since inflammation is one of the key mechanisms of CVD development and progression, efforts to minimize inflammation and angiogenic potential in endovenous and surgical procedures are worthwhile. As techniques continue to be refined, surgery remains a valid option; in particular, the techniques that minimize trauma can be beneficial regarding recurrence. Medical treatment with venoactive drug therapy such as micronized purified flavonoid fraction (MPFF; Daflon Ò), which has proven clinical benefits in patients with CVD, can be used before and after EVA or surgery to minimize inflammation, pain, hemorrhage, and reduce CVD symptoms.

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Systematic review and meta-analysis of the anatomic variants of the saphenofemoral junction

Cited by 11 publications

References 28 publications

Minor tributary veins of the common femoral vein near the saphenofemoral junction – A postmortem study

Minor tributary veins of the common femoral vein near the saphenofemoral junction – A postmortem study

Inter‐arterial saphenofemoral junction: A rare anatomical variation

Advanced Stages of Chronic Venous Disease: Evolution of Surgical Techniques and Advantages of Associated Medical Treatment

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