VENA SAFENA MAGNANIN ANATOMİK VARYASYONU DERİN VEN TROMBOZU İÇİN BİR RİSK FAKTÖRÜ MÜDÜR?

Öz

Amaç: Bu retrospektif çalışmanın amacı, vena safena magnanın, anatomik varyasyonunun femoral ven trombozuna olan etkisini araştırmaktır.

Gereç ve Yöntemler: Bu çalışma Kırıkkale Üniversitesi Tıp Fakültesi Hastanesi Kalp ve Damar Cerrahisi Kliniğinde Ocak 2017 ve Ağustos 2019 tarihleri arasında takip ve tedavi edilen femoral ven trombozu tanısı olan hastalarda yapıldı. Hastaların demografik özellikleri, venöz renkli Doppler ultrasonografi raporları ve eşlik eden hastalıklar retrospektif olarak incelendi. Vena safena magnanın tipleri, uyluk seviyesinde safen kompartmanındaki yerleşimlerine göre belirlendi.

Bulgular: Çalışma ana ve superfisiyal femoral vende derin ven trombozu tanısı konulan 130 hasta üzerinde yapılmıştır. Hastaların 62’si kadın ve 68’i erkekti ve yaşları 16 ile 89 yıl arasında değişmekteydi. Ortalama yaşları ise 55.8±17.3 yıldı. Derin ven trombozu risk faktörlerinden, en sık ileri yaş (%37), en az oral kontraseptif kullanımı (%1.5) gözlendi. On hastada predispozan faktör saptanamadı. Ana ve superfisiyal femoral derin ven trombozu olan hastalarda vena safena magna tiplerinin görülme yüzdeleri normal popülasyona göre aynı bulunmuştur.

Sonuç: Çalışmada ana ve superfisiyal femoral derin ven trombozu olan hastalarda vena safena magna varyasyonlarının görülme oranının normal popülasyona göre benzer olduğu saptandı.

Anahtar Kelimeler

• Vena safena magna
• anatomik varyasyon
• derin ven trombozu

Is the Anatomic Variation of Vena Saphena Magna A Risk Factor for Deep Vein Thrombosis?

Öz

Objective: The aim of this retrospective study is to investigate the relationship between the anatomical variation of the vena saphena magna and femoral vein thrombosis.

Material and Methods: This study was conducted in patients with femoral vein thrombosis who were followed up and treated between January 2017 and August 2019 in Kırıkkale University Faculty of Medicine Hospital Cardiovascular Surgery Clinic. The demographic characteristics of the patients, venous color Doppler ultrasonography reports and accompanying diseases were retrospectively analyzed. Vena saphena magna types were determined according to their position in the saphenous compartment at the thigh level.

Results: The study was conducted on 130 patients diagnosed with deep vein thrombosis in the common and superficial femoral vein. Sixty-two of the patients were female and 68 were male and their ages ranged from 16 to 89 years. Mean age was 55.8±17.3 years. Among the DVT risk factors, old age (37%) was the most common and use of oral contraceptives (1.5%) was the least observed. No predisposing factor was found in 10 patients. The percentages of vena saphena magna types in patients with common and superficial femoral deep vein thrombosis were found to be the same compared to the normal population.

Conclusion: In the study, the incidence of vena saphena magna variations in patients with common and superficial femoral deep vein thrombosis was found to be similar compared to the normal population.

Anahtar Kelimeler

• Vena saphena magna
• anatomical variation
• deep vein thrombosis

Kaynakça

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