OBJECTIVES:To discuss safety of EVLA in anomalies of the GSV anatomy. To review and discuss complications of surgery involving anomalous anatomy.
METHOD:We report a case of high bifurcation of the common femoral artery wrapping around the saphenofemoral junction.
RESULTS:Successful ablation was achieved with no adverse consequences.
CONCLUSION:EVLA is a safe treatment for SFJ/GSV incompetence in the presence of vascular anomalies that have historically resulted in serious vascular complications from surgery.