Román-Guzmán E, Ruiz-Mercado H, Quero-Sandoval F, Nolasco-De la Rosa AL, Flores-Hernández U, Vargas-Mejía JÁ, Reyes-Miranda AL, Ramírez-Serrano Torres CO

Language: Spanish
References: 13
Page: 86-90
PDF size: 300.01 Kb.

ABSTRACT

Introduction. Deep vein thrombosis of the lower limbs, often coupled with anticoagulant management, surgery or interruption of the vena cava, to prevent associated complications such as; pulmonary embolism and post-thrombotic syndrome, should be taken into account possible vein anatomical variants of the lower limbs.
Objective. The present study determinate that venous anatomical variant that exist in a group of patients.
Material and methods. A retrospective cohort study (2011-2013) was conduced in 890 clinical and radiological records of venography to detect type of femoro-popliteal vein anatomical variants. The study diviincludes only patients whith normal renal function and creatinine clearance. In all patients was used non ionic contrast (60-70 mL iopamidol 300 g/dL). Excluding patients with acute venous thrombosis and post-thrombotic syndrome.
Results. Included 74 patients (84 cases) of 890 records reviewed with inclusion criteria. The common age was 47.1 years old ± 5 years, 55 women (74%), 19 male (26%). Anatomic variations: femoral unilateral in 54 patient (73%), femoral bilateral in 10 patient (13.5%), duplication of popliteal vein in 10 patient (13.5%), the most frequent duplication was the left femoral vein in 44 cases (52%).
Conclusions. In the present study found 8.3% incidence, comparable only to the series of Francois (France) which was 12%. We believe that de problem exist and its detection is important to prevent complications from diagnosis and not undesirable treatment.

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