Document Detail

The thigh extension of the lesser saphenous vein: from Giacomini's observations to ultrasound scan imaging.
MedLine Citation:
PMID:  12618692     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Giacomini described a vein that now bears his name almost 130 years ago. Subsequent anatomic studies detail his findings but receive inadequate attention in clinical and surgical textbooks. The purpose of this study was to present a summary of the original observations by Giacomini, present our ultrasound scan findings, and review later anatomic, venographic, and ultrasound scan studies.
METHODS: The study was a literature review and experience with duplex ultrasound scanning from units in Italy and Australia.
RESULTS: Giacomini described a thigh extension from the lesser saphenous vein that passed to join with the greater saphenous vein, which since then bears his name, and described also the other destinations of the thigh extention to deep veins through perforators or an end as multiple tributaries in the superficial tissues or muscles. Duplex ultrasound scanning shows that the vein can be affected by varicose disease with reflux either upwards or downwards in the thigh to the greater or lesser saphenous veins respectively.
CONCLUSION: Ultrasound scan imaging has brought the vein of Giacomini from the realm of anatomic dissection to an important structure to be considered in the clinical management of chronic venous disease.
Mihael Georgiev; Kenneth A Myers; Gianni Belcaro
Publication Detail:
Type:  Biography; Historical Article; Journal Article; Portraits    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  37     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-03-05     Completed Date:  2003-03-24     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  558-63     Citation Subset:  IM    
Department of Vascular Surgery, Monash Medical Centre, via Rossetti 1, 04100 Latina, Italy.
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MeSH Terms
Anatomy / history
History, 19th Century
Saphenous Vein / anatomy & histology*,  ultrasonography
Thigh / blood supply*
Personal Name Subject
Personal Name Subject:
Carlo Giacomini

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