Nonfiction 1

Atlas of Phlebography of the Lower Limbs: Including the by Jacques Chermet (auth.)

By Jacques Chermet (auth.)

This booklet isn't intended to be a textbook or a guide of phlebography of the decrease limbs. it truly is an atlas aimed purely at instructing one find out how to learn an interpret phlebograms, and is of substantial significance because it represents the traditional investigatory process used to ascertain the reliability of alternative diagnostic tools relating venous move. concerning prognosis, not anything is extra sure than the phlebographic demonstration of a thrombus; furthermore, whether the thrombus isn't really demonstrable, as in yes phlebites. it truly is nonetheless attainable to set up the prognosis with sufficient wisdom of the radio anatomy of the non-opacified veins and the demonstration of marked collateral stream. as a result this research needs to be conducted very conscientiously with specific recognition to interpretation. The procedure was once first utilized in guy in 1923 and is now hired worldwide; greater tolerated distinction fabrics render it nearly harmless; the incidence of only a few incidences of non-tolerance doesn't slash the worth of this technique. we've purposely diminished the textual content to legends of the representation and withheld the bibliography in as far as it's intended to be a educating software when it comes to photographs with none connection with previous or current publications.

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The peroneal veins in the intertibioperoneal space have a spindle-shaped termination, which is a normal appearance t t. The anterior tibial veins. are almost always the thinnest of the deep veins; they are superimposed onto the peroneal veins in the upper part of the leg. Note the presence of valves on all these deep veins. The fusiform appearance of the peroneal veins termination must not be misinterpreted as an ectasia of the deep veins; it is a normal feature. 33 Fig. 46: Venogram of the left lower limb from an injection of a superficial dorsal vein.

Fig. 87: Bifemoral percutaneous inferior vena cavography. Venturi effect t in a right ilio-femoral vein. Under certain conditions the vein may have a tapered appearance: Venturi effect due to a too rapid injection of contrast medium into a large vein on hand with a cathether without side holes. 53 Fig. 88 Fig. 89 J;'igs. 88 and 89: Frontal and lateral venogram of the right lower limb. The frontal projection (88) shows )artial and poor opacification of the deep veins of the leg. able. The lateral projection (89) suppresses the compression of the muscles and shows correct filling of the mterior and posterior tibial peroneal veins.

Superficial saphenous system B. Deep venous system 1. Internal saphenous vein 1. Profunda femoris vein 2. External saphenous vein 2. Superficial femoral vein 3. Vein of Giacomini 3. Popliteal vein 4. External gastrocnemial vein 5. Internal gastrocnemial vein 6. Posterior tibial veins 7. Peroneal veins 8. Anterior tibial veins 9. Tibioperoneal trunk. 37 Fig. 51: Diagram showing the connections of the superficial venous system with the saphenous veins and with the deep veins. The perforating veins connect the superficial with the deep veins.

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