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rent treatment modalities of the incompetent superficial veins of the lower extremity. The indications of these procedures are identical to those of the sclerotherapy and open surgery.1 Axial veins, namely the great saphenous vein (GSV), small saphenous vein (SSV), and the accessory saphenous veins (ASVs) are the primary targets of this therapy. However, anatomic variations in the venous system are numerous, and they all require different strategies according to their diversity for the proper treatment. As the knowledge about the venous system is steadily increasing with the use of ultrasonography, clinical vascular anatomy is now in a period of detailed reconsideration.2 In this paper, an uncommon anatomic variation of the Saphenopopliteal Junction (SPJ) (Type-B) with the cranial continuation of the insufficient SSV and its endovenous treatment that complemented the previous ablation of the GSV was reported.

Symptomatic Failure in Endovenous Thermal Ablation Caused by the Existence of Type-B Saphenopopliteal Junction: Original Image