Skip to main content

Sciatic venous drainage demonstrated by varicography in patients with a patent deep venous system

Abstract

Varicography, consisting of direct puncture and injection into a varicosity, is the diagnostic procedure of choice in the assessment of varicose veins of the lower limbs. It must be performed in cases of recurrent posterior varicose veins of the leg, after negative ascending phlebography, when looking for possible drainage by a sciatic venous pathway. A series of 7 patients with such sciatic venous drainage is presented. Although infrequent, sciatic venous pathways may explain recurrent varicose veins and alter therapy.

This is a preview of subscription content, access via your institution.

References

  1. Lofgren EP, Lofgren KA (1971) Recurrence of varicose veins after the stripping operation. Arch Surg 102:111–114

    PubMed  CAS  Google Scholar 

  2. Hobbs JT (1974) Surgery and sclerotherapy in the treatment of varicose veins. Arch Surg 109:793–796

    PubMed  CAS  Google Scholar 

  3. Doran FS, White M (1975) A clinical trial designed to discover if the primary treatment of varicose veins should be by Fegan's method or by an operation. Br J Surg 62:72–76

    PubMed  Article  CAS  Google Scholar 

  4. Starnes HF, Vallance R, Hamilton DN (1984) Recurrent varicose veins: A radiological approach to investigation. Clin Radiol 35:95–99.

    PubMed  Article  CAS  Google Scholar 

  5. Corbett CR, McIrvine AJ, Aston NO, Jamieson CW, Thomas ML (1984) The use of varicography to identify the sources of incompetence in recurrent varicose veins. Ann R Coll Surg Engl 66:412–415

    PubMed  CAS  Google Scholar 

  6. de Fays F, Schoevaerdts JC, Trigaux JP (1982) Intérêt de la varicographie dans le bilan préopératoire des varices des membres inférieurs. Acta Chir Belg 82:51–58

    PubMed  Google Scholar 

  7. Thomas ML, Bowles JN (1985) Incompetent perforating veins: Comparison of varicography and ascending phlebography. Radiology 154:619–623

    PubMed  CAS  Google Scholar 

  8. Mignon G (1981) Radiodiagnosis of perforating veins—our technique. In: Mat R, Portsch H, Strauseband J (eds) Perforating veins. Urband and Schwarzenberg, Munich pp 147–151

    Google Scholar 

  9. Leathomas M, Posniak HV (1985) Varicography. Int Angiol 4:475–482

    CAS  Google Scholar 

  10. Leathomas M, Keeling FP (1986) Varicography in the management of recurrent varicose veins. Angiology 37:570–575

    Google Scholar 

  11. Trigaux J-P, Schoevaerdts J-C, Heynen M, de Fays F (1983) Artère et veine sciatiques: À propos de trois observations. J Radiol 64:343–346

    PubMed  CAS  Google Scholar 

  12. Trigaux J-P, de Fays F, de Fays R (1985) Comparative study between two iodinated contrast media in lower-limb phlebography: Ioxaglate versus conventional product. Br J Radiol 58:203–206

    PubMed  CAS  Article  Google Scholar 

  13. Paturet G (1951) Traité d'anatomic humaine. Masson, Paris tome H, 1002 and 1958 tome III, 837–839

    Google Scholar 

  14. Servelle M (1972) Les affections veineuses. In: Servelle M., Pathologie vasculaire, Mason, Paris tome II, 9–29.

  15. Beard RW, Pearce S, Highman JH, Reginald PW (1984) Diagnosis of pelvic varicosities in women with chronic pelvic pain. Lancet ii:946–949

    Article  Google Scholar 

  16. Kaupilla A (1970) Uterine phlebography with venous compression. A clinical and roentgenological study. Acta Obstet Gynecol Scand 40:33–34

    Google Scholar 

  17. Walters HL, Clemenson J, Browse NL, Thomas ML, (1980)125I-fibrinogen uptake following leg phlebography: A comparison of an ionic and non-ionic contrast medium. Radiology 135:619–621.

    PubMed  CAS  Google Scholar 

Download references

Author information

Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Trigaux, JP.F., Vanbeers, B.E., Delchambre, F.E. et al. Sciatic venous drainage demonstrated by varicography in patients with a patent deep venous system. Cardiovasc Intervent Radiol 12, 103–106 (1989). https://doi.org/10.1007/BF02577400

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02577400

Key words

  • Venography, technology
  • Veins, abnormalities
  • Veins, extremities
  • Veins, pelvic