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The great saphenous vein (GSV) or long saphenous vein (/ s ə ˈ f iː n ə s /) is a large, subcutaneous, superficial vein of the leg.It is the longest vein in the body, running along the length of the lower limb, returning blood from the foot, leg and thigh to the deep femoral vein at the femoral triangle.
Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used for venous access in cases of trauma, and hypovolemic shock when the use of a peripheral venous catheter is either difficult or impossible. The great saphenous vein is most
Vein stripping is a surgical procedure done under general or local anaesthetic to aid in the treatment of varicose veins and other manifestations of chronic venous disease. The vein "stripped" (pulled out from under the skin using minimal incisions) is usually the great saphenous vein. The surgery involves making incisions (usually the groin ...
Also, at the groin it can be seen at the outside of the great saphenous vein, and together with the common femoral vein (CFV) these three create an image, the so-called "Mickey Mouse sign". Some authors, inspired by this sign (presented for the first time at CHIVA's 2002 meeting in Berlin), described a "Mickey Mouse view" at the groin, an image ...
The great saphenous vein is exposed and the common femoral and subsartorial veins are identified before dividing. The vein is ligated close to the junction with of the femoral vein. [3] If the ligation is distal from the saphenofemoral junction, it will leave out small tributaries which may later cause recurrence of varicosities.
Venous cutdown procedures most commonly target the great saphenous vein in the leg because it is superficial, easily accessible, and consistently in the same anatomical location. This procedure is used in certain populations such as critically ill patients or patients in hypovolemic shock or when less invasive methods such as peripheral ...
A valvulotome is a catheter-based controllable surgical instrument used for cutting or disabling the venous valves. [1] This is needed to enable an in situ bypass in patients with an occluded artery (especially femoral artery), where the saphenous vein is disconnected from the venous system and connected to arteries above and below the occluded segment to allow blood to flow to the lower leg.
Moreover, the particular vein, great saphenous vein was shown to be more durable over the years after surgery. [5] Also, when comparing the efficacy of using PTFE or the great saphenous vein in people with claudication and critical limb ischemia, the latter showed better long term results. [5] [12]