By Jacques Chermet (auth.)
This booklet isn't really intended to be a textbook or a instruction manual of phlebography of the reduce limbs. it really is an atlas aimed simply at instructing one the way to learn an interpret phlebograms, and is of substantial significance because it represents the traditional investigatory process used to envision the reliability of different diagnostic tools touching on venous flow. concerning analysis, not anything is extra definite than the phlebographic demonstration of a thrombus; in addition, whether the thrombus isn't demonstrable, as in convinced phlebites. it truly is nonetheless attainable to set up the prognosis with enough wisdom of the radio anatomy of the non-opacified veins and the demonstration of marked collateral movement. hence this research needs to be performed very rigorously with specific awareness to interpretation. The method used to be first utilized in guy in 1923 and is now hired all over the world; higher tolerated distinction fabrics render it nearly risk free; the prevalence of only a few incidences of non-tolerance doesn't curb the worth of this system. now we have 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 in terms of photographs with none connection with previous or current publications.
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Extra resources for Atlas of Phlebography of the Lower Limbs: Including the Iliac Veins
Isolated opacification of the femoral vein showing clearly its topography with regard to the femoral shaft. This vein crosses the shaft posteriorly to anteriorly at the level of its middle third t. Fig. 61 Chapter 2 ARTEFACTS AND INCIDENTS Figures 63-100 46 Fig. 63 Fig. 65 Fig. 64 Figs. 63, 64, 65, 66, 67 and 68: Artefact due to a too tight tourniquet • which compresses the deep veFig. 66 nous system 47 Fig . 67 Fig. 68 Fig. 70 Fig. 69 Figs. 69 and 70: Artefact due to a too tight tourniquet 6 .
101: Clinically typical phlebitis of the calf. Non-pressurized venography of the right lower limb. Complete obliteration of the deep veins of the leg. Collateral circulation via the internal saphenous vein t. Opacification of the superficial femoral vein t through a perforating vein above the knee shows it to be occluded by a loose thrombus of the phlebothrombotic type. Venography is indicated for demonstrating that phlebitis of the calf may in fact be diffuse phlebitis of all veins of the leg.
Figure 54 shows a venogram in a 5-year-old child. 39 Fig. 55 41 Fig. 58 Fig. 59 Figs. 58 and 59: Frontal and lateral film in the same patient, showing a congenital anomaly with duplication of the superficial femoral vein at the middle third of the thigh. The lateral projection (Fig. 59) confirms that it is merely a duplication of the superficial femoral vein and not the opacification of the superficial and of the deep femoral vein. Indeed, on the latter projection (Fig. ). A profunda femoris vein would be parallel to the posterior aspect of the femoral shaft over a longer distance.