Diagnostic possibilities of retrograde pelvic phlebography through the contralateral limb in varicosities

The regular features of the passage of vertical blood reflux from the pelvic veins to the veins of the lower limbs were studied in 65 patients with varicosity by means of retrograde pelvic phlebography (RPP). The following atypical forms of varicosity were found to be absolute indications for RPP: varicosity of the gluteal veins, the veins of the ischiatic and pubic regions, the posterior and medial surface of the upper third of the thigh, and the veins of the genitals. The relative indications are recurrent varicosity with varicose veins in the inguinal region and operative scars preventing puncture of the femoral vein of the limb under study, and the development of various complications in puncture retrograde phlebography which make the examination difficult.