• Dermatol Surg · Jan 2012

    Review

    Duplication of the great saphenous vein: a definition problem and implications for therapy.

    • Michael Kockaert, Kees-Peter de Roos, Lucas van Dijk, Tamar Nijsten, and Martino Neumann.
    • Department of Dermatology, Erasmus Medical Center, Rotterdam, The Netherlands. m.kockaert@erasmusmc.nl
    • Dermatol Surg. 2012 Jan 1; 38 (1): 77-82.

    BackgroundIn the literature there is a range from 1% to 20 % of duplication (up to 20%) of the great saphenous vein (GSV) reported, because there is a lack of an accurate definition of the GSV and objective parameters for an anatomical identification.ObjectiveTo investigate the frequency of true duplications of the GSV.Materials And MethodsA systematic review of the literature, a retrospective analysis of duplex examinations, and a prospective study of duplex examinations to investigate the frequency of true duplications of the GSV.ResultsIn the literature review, a great variety of definitions is used for duplication of the GSV. Before the consensus of the Union International de Phlébologie (UIP) in 2006, Only in a small number of studies, the definition of the GSV in the saphenous compartment between the fascial blades is mentioned.ConclusionPhlebographic studies have been the criterion standard for the identification of venous anatomy. Now, duplex is regarded as the criterion standard for accurate detection of the veins. True duplication of the GSV is less common than the previous literature has suggested, namely 1.6% to 2%. It is recommended that the duplicated GSV should be treated to avoid an important risk of recurrence of venous insufficiency.© 2011 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.

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