Clinical Anatomy of Vessels of Popliteal Region
- 作者: Kalinin R.E.1, Suchkov I.A.1, Pshennikova K.S.2, Klimentova E.A.1, Shanaev I.N.1
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隶属关系:
- Ryazan State Medical University
- Regional Clinical Cardiology Dispensary
- 期: 卷 32, 编号 3 (2024)
- 页面: 455-466
- 栏目: Original study
- URL: https://journals.rcsi.science/pavlovj/article/view/265928
- DOI: https://doi.org/10.17816/PAVLOVJ112411
- ID: 265928
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INTRODUCTION: A modern standard for noninvasive diagnostics of the vascular system is duplex scanning. The knowledge of variability of vascular anatomy is essential for ultrasound doctors.
AIM: To clarify variants of the clinical anatomy of vessels of the popliteal region using duplex scanning and anatomical preparation.
MATERIALS AND METHODS: The work used data of duplex scanning of the arteries and veins of the lower extremities of patients without pathology of the vascular system of the lower extremities, who underwent examination of the vascular system: 200 patients aged from 18 to 92 years. As control, the data of anatomical preparation of 50 amputated lower extremities were taken, with preliminary filling the venous system with a blue synthetic gel.
RESULTS: In the course of anatomical preparation, two trunks of the popliteal vein were identified in the distal popliteal region in 86.0% of observations. A typical drain of the small saphenous vein with formation of the saphenopopliteal junction was encountered in 60.0% of cases. In duplex scanning, a high bifurcation of the popliteal artery was detected in 1.9% of observations. The two trunks of the popliteal vein in the distal part of the popliteal region were encountered in 82.4% of cases, and the medial trunk was almost always larger than the lateral one. The small saphenous vein drained into the popliteal vein in 63.0% of cases. In 7.2% of observations, it drained into one of the intramuscular veins. In 0.95% of observations, a perforator vein was identified in the popliteal region. The sural veins were identified in all the patients — two on the medial and lateral surface positioned at the sides of the two trunks of the sural arteries, forming a single trunk before confluence with the popliteal vein.
CONCLUSIONS: TThe study revealed the following anatomic variants of vessels of the popliteal region: two trunks of the popliteal vein below the knee joint cleft in 85.7% to 86.0% of observations; a high bifurcation of the popliteal artery in 1.9%; saphenopopliteal junction in 60.0% to 63.0%; perforator veins of the popliteal region in 0.95% of observations; upon that, the small saphenous vein does not form the saphenopopliteal junction.
作者简介
Roman Kalinin
Ryazan State Medical University
Email: kalinin-re@yandex.ru
ORCID iD: 0000-0002-0817-9573
SPIN 代码: 5009-2318
MD, Dr. Sci. (Med.); Professor
俄罗斯联邦, RyazanIgor Suchkov
Ryazan State Medical University
Email: suchkov_med@mail.ru
ORCID iD: 0000-0002-1292-5452
SPIN 代码: 6473-8662
MD, Dr. Sci. (Med.); Professor
俄罗斯联邦, RyazanKristina Pshennikova
Regional Clinical Cardiology Dispensary
Email: pshennikowa.kris@yandex.ru
ORCID iD: 0000-0002-4541-2653
俄罗斯联邦, Ryazan
Emma Klimentova
Ryazan State Medical University
Email: klimentowa.emma@yandex.ru
ORCID iD: 0000-0003-4855-9068
SPIN 代码: 5629-9835
MD, Cand. Sci. (Med.)
俄罗斯联邦, RyazanIvan Shanaev
Ryazan State Medical University
编辑信件的主要联系方式.
Email: c350@yandex.ru
ORCID iD: 0000-0002-8967-3978
SPIN 代码: 5524-6524
MD, Dr. Sci. (Med.)
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