Ann Phlebology.  2023 Dec;21(2):74-79. 10.37923/phle.2023.21.2.74.

Prevalence and Clinical Implication of Nonsaphenous Vein Reflux with or without Pelvic Venous Disease

• Kim H
• Labropoulos N

• KMID: 2549982
• DOI: http://doi.org/10.37923/phle.2023.21.2.74

Abstract

Non-saphenous veins refer to veins other than the great saphenous vein or small saphenous vein. Emerging evidence suggests that non-saphenous vein reflux may be more prevalent than previously thought, occurring in 9∼35% of patients with chronic venous disease. We purposed to review the anatomical distribution, diagnostic methods, and treatment options for non-saphenous vein reflux and the importance of differentiating it from saphenous vein reflux in clinical practice. Various types of non-saphenous vein reflux are discussed, including posterolateral thigh perforator vein reflux, vulvar vein reflux, gluteal vein reflux, sciatic nerve/ tibial nerve vein reflux, popliteal fossa vein reflux, and knee perforator vein reflux. Individualized treatment approaches are recommended, with sclerotherapy and phlebectomy being common options. Increasing awareness and understanding of non-saphenous vein reflux can lead to improved diagnosis, management, and outcomes for patients with venous disease.

Keyword

Non-saphenous veins; Varicose vein; Chronic venous disease