Common presentaiton
- Pain in lower limbs
- Upper limb pain and swelling
- Prominent veins
- Lower limb swelling
- Skin changes
- Ulcer
Venous disease
Common venous diseases:
- Varicose veins
- Deep venous thrombosis. (DVT)
- Superficial thrombophlebitis.
- Venous ulcers
Anatomy of Lower Extremity Veins
Superficial veins:
Greater saphenous vein (GSV), Lesser saphenous vein (LSV) their tributaries.
- The GSV- from the dorsal pedal venous arch and courses cephalad and enters the common femoral vein approximately 4 cm inferior and lateral to the pubic tubercle.
- The LSV- originates laterally from the dorsal pedal venous arch and courses cephalad in posterior calf to join the popliteal vein
Deep veins: follows arteries- Popliteal, femoral
Multiple perforator veins traverse the deep fascia to connect the superficial and deep venous systems. Unidirectional blood flow is achieved with multiple venous valves