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When there is a GSV thrombosis or other cause of insufficiency, the Giacomini vein can divert the blood flow to the SSV and from there to the popliteal vein. Where surgery, other than stripping or laser ablation is intended, the examiner will make reference to the blood flow direction in this vein, as it will be of importance. [39]
Blood vessel grafts often come from the same leg of the bypass site, which are arteries above and below the knee. These grafts can only be removed and prepared during surgery at the time of the bypass. However, in some cases a leg vein is left in place and connected to the artery (in situ procedure).
The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle.It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries.
The popliteal vein is a vein of the lower limb. It is formed from the anterior tibial vein and the posterior tibial vein. It travels medial to the popliteal artery, and becomes the femoral vein. It drains blood from the leg. It can be assessed using medical ultrasound. It can be affected by popliteal vein entrapment.
The patellar network (circulatory anastomosis around the knee-joint, patellar anastomosis, genicular anastomosis, articular vascular network of knee [1] or rete articulare genus [2]) is an intricate network of blood vessels around and above the patella, and on the contiguous ends of the femur and tibia, forming a superficial and a deep plexus.
It is accompanied by a deep vein, the posterior tibial vein, along its course. It passes just posterior to the medial malleolus of the tibia, but anterior to the Achilles tendon. [1] It passes into the foot deep to the flexor retinaculum of the foot. [1] It runs through the tarsal tunnel. [2]
The femoral vein continues into the thigh as the continuation from the popliteal vein at the back of the knee. It drains blood from the deep thigh muscles and thigh bone. [2] Proximal to the confluence with the deep femoral vein, and the joining of the great saphenous vein, the femoral vein is widely known as the common femoral vein. [3]
They drain the posterior compartment of the leg and the plantar surface of the foot to the popliteal vein, which it forms when it joins with the anterior tibial vein. [1] The posterior tibial vein is accompanied by an homonym artery, the posterior tibial artery, along its course. [2] It lies posterior to the medial malleolus in the ankle. [2]
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