Venous Anatomy Flashcards

1
Q

another name for venous valves

A

bicuspid

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2
Q

what is the function of venous valves

A

open and close, allowing unidirectional flow

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3
Q

which veins do not have valves

A

SVC, IVC, innominate, soleal veins/sinuses, intracranial sinuses

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4
Q

how many valves does the GSV have

A

10-20

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5
Q

how many valves does the SSV have

A

6-12

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6
Q

what vein has the most valves

A

GSV

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7
Q

describe the superficial system

A

drains the skin and subcutaneous tissues, empty INTO the superficial truncal veins or directly into the deep system

lies in the superficial compartment

the superficial truncal veins lies in the saphenous compartment

empties into the deep system

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8
Q

describe the perforating veins

A

perforate the fascia and connect the deep and superficial system

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9
Q

describe the deep system

A

carries 85-90% of the blood out of the limb

lies in the deep muscular compartment

drains the muscular compartment and the superficial system via the perforating veins

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10
Q

what are the two primary superficial TRUNCAL veins

A

GSV and SSV

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11
Q

describe the GSV

A

longest vein of the body, ascends medially from the foot to the CF forming the saphenofemoral junction SFJ

has its own fascial compartment

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12
Q

describe SSV

A

origin: dorsal venous arch, termination often the popliteal but highly variable

has it own fascial compartment

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13
Q

describe AAGSV

A

origin - anterior thigh, termination often the greater saphenous vein

alignment sign - it aligns with the superficial femoral artery

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14
Q

describe PAGSV

A

posterior accessory great saphenous vein

origin - posterior thigh, termination often the greater saphenous vein but variable

enlarges with pelvic congestion

often the leg source of posterior thigh varicosities

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15
Q

describe epigastric vein

A

drains the skin of the lower abdomen

termination is often the common femoral, grater saphenous, or accessory saphenous

may serve as a collateral with IVC/iliac obstruction

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16
Q

what is an important landmark for venous interventional procedures

A

superficial epigastric vein

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17
Q

describe Giacomini vein

A

only vein that retains its eponym

it is an intersaphenous vein, it connects the SSV with the GSV

the persistence of this vein may play a contributory role in the development of chronic venous disease

important to eval. during duplex venous ultrasound to assess venous function

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18
Q

describe Perforating vein

A

perforate the fascia and carry blood from superficial veins into the deep veins

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19
Q

how many perforators are there and where are they located

A

femoral canal - dodd
paratibial perforators - boyd, sherman
posterior tibial perforator - cockett
medial ankle perforators

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20
Q

define venae comitantes

A

a pair of veins, occasionally more, that closely accompany an artery

21
Q

describe peroneal vein

A

formed by confluence of venules

drains blood from posterior lateral compartment of leg

often unites as a single vein prior to joining the posterior tibial vein

22
Q

describe posterior tibial vein

A

formed from the plantar metatarsal veins

ascends from the medial ankle along the medial calf

drains the posterior medial compartment of the accompanied PTA

often unites as a single vein (forming a trunk) prior to joining the peroneal veins

23
Q

describe anterior tibial vein

A

formed from the continuation of the dorsalis pedis vein

ascends through the anterior compartment of the leg from the ankle to the knee along the interosseous membrane

joins the PTVs then joins the pop vein

24
Q

describe gastrocnemius vein

A

paired vein sets (medial and lateral) within the gastrocnemius muscle of the calf, companion artery, join the popliteal vein

25
describe soleal vein
within soleus muscle, drain into the calf may not be readily evident when empty. dilate with thrombus, no paired artery
26
describe lower extremity venous sinuses
dilated veins segments in soleal, gastrocnemius muscles drains blood into PTV, pero v a major component of the calf muscle pump
27
describe popliteal vein
formed by union of ATV and tibial-peroneal trunk
28
describe femoral vein
continuation of the popliteal vein and terminates into femoral vein as it passes through the adductor hiatus ascends through the thigh to the groin, companion vein of the SFA, terminates in Scarpa's triangle, may be duplicated
29
describe CFV
formed by the confluence of PFV and FV. below the bifurcation of the CFA
30
describe external iliac vein
CFV becomes the EIV as it passes beneath the inguinal ligament ascends from the groin with its companion artery
31
describe internal iliac vein
ascends through the pelvis with its companion artery joins external iliac to form common iliac vein and drains the pelvis
32
describe common iliac vein
formed from confluence of EIV and IIV ascends through the pelvis and joins the contralateral CIV near the navel
33
describe IVC
formed by the confluence of the common iliac veins commonly at the level of 5th lumbar vertebrae penetrate the diaphragm and terminates in the right atrium
34
describe portal vein
formed by the confluence of superior mesenteric and splenic veins drains the abdominal digestive tract, pancreas, spleen, and gallbladder carries 80% of blood into liver
35
describe hepatic vein
drains the liver empties into IVC carries blood away from liver (hepato-fugal)
36
describe basilic vein
empties the medial aspect of the arm joins the brachial vein from the axillary vein can be harvested for bypass conduit
37
describe cephalic vein
empties the lateral aspect of the arm joins the axillary vein to form the subclavian vein can be harvested for bypass conduit
38
describe radial vein
formed by the confluence of the venules, deep palmar arch empties the lateral hand and forearm
39
describe ulnar veins
formed by the confluence of the venules and the superficial palmar arch empties the medial hand and forearm
40
describe brachial vein
formed by confluence of the radial and ulnar veins
41
describe axillary vein
formed by the confluence of the brachial veins and basilic vein (superficial vein)
42
describe subclavian vein
formed by confluence of the axillary vein and cephalic vein (superficial vein)
43
describe innominate vein (also called brachiocephalic vein)
formed by the confluence of the subclavian vein and internal julgar veins remember there is a right and left innominate vein. and ONE innominate artery
44
describe IJV
collects blood from brain, face and neckde
45
describe intracranial venous sinus
drains blood into IJV
46
describe superior vena cava
formed by the confluence of the innominate veins drains the head, neck and upper extremities terminates in the right atrium
47
describe inferior vena cava
formed by the confluence of the common iliac veins drains the lower half of the body terminates in the right atrium
48