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Citation:
Kearns C, Niknejad M, Persistent sciatic vein. Reference article, Radiopaedia.org (Accessed on 18 Jan 2025) https://doi.org/10.53347/rID-161259
Persistent sciatic vein is one of two known embryonic veins in the lower limb which may persist, the other being the lateral marginal vein. Although both are associated with Klippel-Trenaunay syndrome 1-3, only the lateral marginal vein is also referred to as the Klippel-Trenaunay vein.
The sciatic (or axial) vein is an embryonic lower limb vein that drains the lower thigh to the internal iliac, and usually regresses before birth 4. The persistent sciatic vein follows the course of the sciatic nerve in the posterior lower limb, and drains the lower thigh into the common iliac vein 5. It may have no valves, predisposing to chronic venous insufficiency.
Related pathology
Persistent sciatic vein has been associated with the following conditions:
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1. Labropoulos N, Tassiopoulos A, Gasparis A, Phillips B, Pappas P. Veins Along the Course of the Sciatic Nerve. J Vasc Surg. 2009;49(3):690-6. doi:10.1016/j.jvs.2008.09.061 - Pubmed
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2. Cherry K, Gloviczki P, Stanson A. Persistent Sciatic Vein: Diagnosis and Treatment of a Rare Condition. J Vasc Surg. 1996;23(3):490-7. doi:10.1016/s0741-5214(96)80016-4
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3. Gloviczki P, Stanson A, Stickler G et al. Klippel-Trenaunay Syndrome: The Risks and Benefits of Vascular Interventions. Surgery. 1991;110(3):469-79. - Pubmed
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4. Meissner M. Lower Extremity Venous Anatomy. Semin Intervent Radiol. 2005;22(03):147-56. doi:10.1055/s-2005-921948 - Pubmed
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5. Trigaux J, Vanbeers B, Delchambre F, de Fays F, Schoevaerdts J. Sciatic Venous Drainage Demonstrated by Varicography in Patients with a Patent Deep Venous System. Cardiovasc Intervent Radiol. 1989;12(2):103-6. doi:10.1007/bf02577400 - Pubmed
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6. Srisuwan T, Arworn S, Rerkasem K. Case Series of Isolated Primary Persistent Sciatic Vein. Int J Low Extrem Wounds. 2013;12(3):219-22. doi:10.1177/1534734613502047 - Pubmed
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