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Is variation in posterior tibial veins a risk factor for deep-vein thrombosis?

Authors
 Kyu-Ho Yi  ;  Hee-Jin Kim 
Citation
 CLINICAL ANATOMY, Vol.34(6) : 829-834, 2021-09 
Journal Title
CLINICAL ANATOMY
ISSN
 0897-3806 
Issue Date
2021-09
Keywords
catheter-direct thrombolysis ; deep vein thrombosis ; fibular vein ; posterior tibial vein ; pulmonary embolism
Abstract
Introduction: This study proposes variations in the posterior tibial vein as one of the risk factors for deep-vein thrombosis. Understanding the anatomical classification of the posterior tibial vein would guide the antegrade approach of catheter-directed thrombolysis.

Materials and methods: One hundred thirty-four legs from Korean and Thai cadavers were dissected. The posterior tibial veins were classified into four types according to the number of proximal and distal veins.

Results: The most common type was type Ia (64/134), followed by type IIa (28/134), type Ib (24/134), and type IIb (16/134).

Conclusions: The anterior tibial and fibular veins had exactly two paired veins; however, the posterior tibial vein had many variations. We assume that patients with type IIb and IIa have a higher risk of thrombosis and hidden symptoms due to collateral formation. Additionally, the classification of the posterior tibial vein and dividing into proximal and distal posterior tibial vein would help practitioners predict the course and guide the application of catheter-directed thrombolysis.
Full Text
https://onlinelibrary.wiley.com/doi/full/10.1002/ca.23691
DOI
10.1002/ca.23691
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hee Jin(김희진) ORCID logo https://orcid.org/0000-0002-1139-6261
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184713
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