The great saphenous vein is the longest vein in the body and the most commonly affected by varicose vein disease. Incompetence at the saphenofemoral junction with reflux propagating distally produces the typical medial thigh and calf varicosities. The GSV is the preferred conduit for coronary artery bypass grafting and lower limb arterial bypass. Its course anterior to the medial malleolus makes it vulnerable in ankle trauma.
| Origin | Medial dorsal venous arch of the foot (medial marginal vein) |
|---|
GSV endovenous ablation (laser or radiofrequency) has replaced open stripping as the standard treatment for GSV incompetence. Foam sclerotherapy is used for residual varicosities. The GSV harvest for coronary bypass uses 'no-touch' technique (harvesting with surrounding pedicle of fat to preserve the vasa vasorum) which improves long-term graft patency.
Saphenofemoral junction incompetence producing reflux and medial leg varicosities managed with endovenous laser ablation or radiofrequency ablation.
This website uses cookies to enhance your experience. Some are essential for site functionality, while others help us analyze and improve your usage experience. Please review your options and make your choice.
If you are under 16 years old, please ensure that you have received consent from your parent or guardian for any non-essential cookies.
Your privacy is important to us. You can adjust your cookie settings at any time. For more information about how we use data, please read our privacy policy. You may change your preferences at any time by clicking on the settings button below.
Note that if you choose to disable some types of cookies, it may impact your experience of the site and the services we are able to offer.
Some required resources have been blocked, which can affect third-party services and may cause the site to not function properly.
This website uses cookies to enhance your browsing experience and ensure the site functions properly. By continuing to use this site, you acknowledge and accept our use of cookies.
