|I believe this is off the popliteal vein. This is not a condition that I see often, but I attended a Dornier session in Houson last weekend and heard a good discussion on lateral thigh perforators. I have just seen three patients in a row with this condition, all males, all left leg! |
Thanks for the advice, it is much appreciated.
Submitted by Michael Raborn - 6/21/2012
|varicosities since birth ?|
any limb discrepancy/bony hypertrophy or hemangiomas?
lateral leg truncal vein on doppler?
Submitted by Richard l. Mueller, MD, FACC, FACP, FAHA - 6/21/2012
|Difficult to be certain from your US but appears to be gastroc perf or popiteal perf with varices. NO matter what the perf is, this patient would need 1% foam to perf with phelb. DVT is not a concern if injection done properly
Submitted by Ron Bush, MD, FACS - 6/21/2012
This is a 42 yo gentleman with these varicosities present since birth. No family history of varicose vein disease. Ultrasound show what appears to be a very tortuous, large neck lateral thigh perforator origin. I would appreciate suggestions as to how best to handle it. I could use ultrasound directed foam, but as you can see there would be some concern about foam in the popliteal vein. These are large veins, >1cm. Phlebectomy is an option. The neck of the perforator is approxiamately 4cm deep, so surgical approach would be less than straight forward. Suggestions?
Again, as always, thanks for the help.