Anatomical consideration of deep calf veins: application to catheter-directed thrombolysis

xlomafota13 shared this article with you from Inoreader Anatomical consideration of deep calf veins: application to catheter-directed thrombolysis Via radiol anat Surg Radiol Anat. 2021 Aug 25. doi: 10.1007/s00276-021-02821-7. Online ahead of print. ABSTRACT PURPOSE: An antegrade approach is frequently used in catheter-directed thrombolysis to remove deep-vein thrombosis. However, the antegrade approach is difficult when accessing veins with small diameters; therefore, understanding the variation of deep calf vein is important. METHODS: This study measured the diameters and surface areas of the proximal and distal posterior tibi al vein, peroneal vein, and anterior tibial vein to determine which are preferable for venous access. This study dissected 132 legs from Korean and Thai cadavers. The proximal and distal posterior tibial vein, peroneal vein, and anterior tibial vein were scanned and measured. RESULTS: The mean diameter and surface area were largest for the proximal tibial vein, at 6.34 mm and 0.312 cm2, respectively, followed by the anterior tibial vein (5.22 mm and 0.213 cm2), distal posterior tibial vein (3.29 mm and 0.091 cm2), and peroneal vein (3.43 mm and 0.081 cm2). The proximal posterior tibial vein and anterior tibial vein have large diameters and surface areas, which make them ideal for applying an antegrade approach in catheter-directed thrombolysis. CONCLUSIONS: The distal posterior tibial vein and peroneal vein are not recommended due to their smaller surface areas and also the anatomical variations therein. PMID:34432130 | DOI:10.1007/s00276-021-02821-7 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.