Vein of Giacomini detected through noncontrast magnetic resonance imaging plus QFlow for guided endovenous ablation

A 60-year-old woman presented with a 6-month history of left thigh pain with nocturnal cramps in the calf muscle. Ultrasound examination revealed reflux in the superficial veins of her left leg. Triggered angiographic non-contrast-enhanced (TRANCE) magnetic resonance imaging arranged for venous intervention revealed the presence of the vein of Giacomini (VG), which is a thigh extension of the short saphenous vein (SSV), draining into the great saphenous vein (GSV).1,2 Because we routinely use TRANCE magnetic resonance imaging as a preoperative modality for venous intervention, VG is easily detected.