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International Vein Congress May 12-14, 2011. DISCLOSURE David L. Walrath, M.D., F.A.C.S., A.B.Ph., R.P.V.I I have no financial relationships to disclose. Venous Aneurysms at the SFJ. David L. Walrath, M.D., F.A.C.S., A.B.Ph., R.P.V.I Vein Center of Lake Norman Huntersville, NC.

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International vein congress may 12 14 2011
International Vein CongressMay 12-14, 2011

DISCLOSURE

David L. Walrath, M.D., F.A.C.S., A.B.Ph., R.P.V.I

I have no financial relationships to disclose.


Venous aneurysms at the sfj

Venous Aneurysms at the SFJ

David L. Walrath, M.D., F.A.C.S., A.B.Ph., R.P.V.I

Vein Center of Lake Norman

Huntersville, NC


Venous aneurysms at the sfj1
Venous Aneurysms at the SFJ

RGSV

Pre-operative

2-2-2011

66 year old female


Venous aneurysms at the sfj2
Venous Aneurysms at the SFJ

RGSV

2 weeks post operative

2-16-2011

66 year old female


Venous aneurysms at the sfj3
Venous Aneurysms at the SFJ

RGSV

2 months post operative

4-11-2011

66 year old female


Venous aneurysms at the sfj4
Venous Aneurysms at the SFJ

Definition: A vein aneurysm is defined as an isolated zone of venous dilatation that communicates with a normal sized venous segment not associated with trauma or varicose

veins. (1.5 x nl)


Venous aneurysms at the sfj5
Venous Aneurysms at the SFJ

Histology:

The walls are thinner, all three layers are present, but there is loss of small muscle and elastic fibers with an increase in fibrous connective tissue.


Venous aneurysms at the sfj6
Venous Aneurysms at the SFJ

Superficial venous aneurysms can cause DVT and rarely pulmonary emboli especially if near the SFJ.


Venous aneurysms at the sfj7
Venous Aneurysms at the SFJ

However, we also know that a groin incision is responsible for neovascularization and that neovascularization significantly increase the rate of recurrence.


Venous aneurysms at the sfj8
Venous Aneurysms at the SFJ

In a recent phlebology article Dr. Ferreira stated that the International Endovenous laser working group (I.E.W.G.) does not recommend simultaneous crossectomy (ligation) in patients treated with EVLT except in cases of associated pathologies such as venous aneurysms.


Venous aneurysms at the sfj9
Venous Aneurysms at the SFJ

I welcome your advice!