scholarly journals Osteonecrosis of Femoral Head Occurred after Stent Placement of Femoral Artery

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Akiyoshi Shimatani ◽  
Fumiaki Inori ◽  
Taku Yoshida ◽  
Masahiko Tohyama ◽  
Sadahiko Konishi ◽  
...  
Keyword(s):  
Femoral Head ◽  
Femoral Artery ◽  
Stent Placement ◽  
Endovascular Procedure ◽  
Deep Femoral Artery ◽  
Circumflex Artery ◽  
Arteriosclerosis Obliterans ◽  
Osteonecrosis Of Femoral Head ◽  
Medial Femoral Circumflex Artery ◽  
Inferior Limb

We present a case of osteonecrosis of femoral head (ONFH) that occurred after stent angiography of femoral artery for the treatment of arteriosclerosis obliterans (ASO) of left inferior limb in a 76-year-old woman. No case of late collapse of femoral head as a complication of endovascular procedure such as stent placement has been previously documented. We considered that ONFH occurred after detaining stent at a junction of left deep femoral artery for the treatment of the ischemia of left lateral and medial femoral circumflex artery.

scholarly journals Hip arthroscopy for lateral cam morphology: how important are the vessels?

2020 ◽  
Vol 7 (2) ◽  
pp. 183-194
Author(s):  
Austin E Wininger ◽  
Lindsay E Barter ◽  
Nickolas Boutris ◽  
Luis F Pulido ◽  
Thomas J Ellis ◽  
...  
Keyword(s):  
Femoral Head ◽  
Blood Supply ◽  
Hip Arthroscopy ◽  
Circumflex Artery ◽  
Vascular Disruption ◽  
Medial Femoral Circumflex Artery ◽  
Femoral Osteoplasty ◽  
Hip Extension ◽  
Cam Morphology ◽  
Head Neck

Abstract The purpose of this narrative review is to identify the anatomy and relevant blood supply to the femoral head as it pertains to hip arthroscopy and lateral cam morphology. The primary blood supply to the femoral head is the lateral ascending superior retinacular vessels, which are terminal branches of the medial femoral circumflex artery. These vessels penetrate the femoral head at the posterolateral head–neck junction. Surgeons performing posterolateral femoral osteoplasty must respect this vasculature to avoid iatrogenic avascular necrosis (AVN). Avoidance of excessive traction, avoidance of distal posterolateral capsulotomy and avoidance of disruption of the superior retinacular vessels should keep the risk for AVN low. Hip extension, internal rotation and distraction are useful in hip arthroscopy to better visualize lateral/posterolateral cam morphology to facilitate an accurate comprehensive cam correction and avoid vascular disruption.

scholarly journals Successful limb salvage beyond the golden time following blunt traumatic open complete transection of the femoral artery and vein in a patient with cardiac arrest: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Hoshi Himura ◽  
Kenichiro Uchida ◽  
Masahiro Hiyashita ◽  
Yasumitsu Mizobata
Keyword(s):  
Cardiac Arrest ◽  
Femoral Artery ◽  
Lower Limb ◽  
Damage Control ◽  
Damage Control Resuscitation ◽  
Deep Femoral Artery ◽  
Injured Limb ◽  
Circumflex Artery ◽  
Complete Transection ◽  
Lateral Femoral Circumflex Artery

Abstract Background Open complete transection of the femoral artery and vein following blunt trauma is extremely rare. Furthermore, even if the patient has been successfully resuscitated, it is sometimes difficult in most patients to preserve the injured limb, especially after damage control resuscitation. We report a case of open complete transection of the femoral artery and vein secondary to high-energy blunt trauma and a successful limb preservation treatment strategy. Case presentation A 57-year-old Asian man was transferred to hospital after having fallen from the 15th floor of a condominium. The patient was in cardiac arrest at the scene, but was successfully resuscitated by emergency medical services staff. On arrival, the patient’s hemodynamics were completely collapsed with active external bleeding from the thigh, so we immediately started resuscitation including activation of massive transfusion protocol and temporarily ligated the transected proximal superficial femoral artery, deep femoral artery just distal after branching lateral femoral circumflex artery and the superficial femoral vein. Following radiological findings showing a potential pelvic fracture with active bleeding, we also performed retroperitoneal packing in the resuscitation room and moved the patient to the angiography room for transcatheter arterial embolization. The patient’s consciousness was preserved and perfusion of the injured limb was barely maintained after his hemodynamics were adequately stabilized. As we detected weak perfusion of the lower limb via a potential collateral flow from the lateral femoral circumflex artery branches from deep femoral artery by pulse doppler of the dorsal pedis artery, we decided to reconstruct superficial femoral artery and vein at 24 h after injury using great saphenous vein bypass grafts. The patient was transferred to a rehabilitation hospital with good neurological and limb outcome after hospitalization for 52 days. Conclusion We successfully preserved the patient’s lower limb after cardiac arrest and complete transection of the femoral artery and vein and achieved a good neurological outcome. Even if a femoral artery needs to be ligated temporarily, careful observation and assessment should be performed so as not to lose the chance to salvage the limb even during damage control resuscitation.

Surgery of the Deep Femoral Artery

1994 ◽  
Author(s):  
Marco P. Merlini ◽  
R. J. A. M. van Dongen ◽  
Michael Dusmet
Keyword(s):  
Femoral Artery ◽  
Deep Femoral Artery

Operated unstable pertrochanteric fractures leading to osteonecrosis of femoral head

2015 ◽  
Vol 2 (2) ◽  
pp. 113-116
Author(s):  
Neetin P. Mahajan ◽  
Ankit A. Marfatia ◽  
Nadir Z. Shah ◽  
F Memon ◽  
S. Mukherjee ◽  
...  
Keyword(s):  
Femoral Head ◽  
Osteonecrosis Of Femoral Head ◽  
Pertrochanteric Fractures

CaO2/Gelatin Oxygen Slow-Releasing Microspheres Facilitate Tissue Engineering Efficiency for Osteonecrosis of Femoral Head via Enhancing Angiogenesis and Survival of Grafted Bone Marrow Mesenchyml Stem Cells

2021 ◽  
Author(s):  
Chengqiang Wang ◽  
Haixia Xu ◽  
Chun Liu ◽  
Ziyue Peng ◽  
Ruoxing Min ◽  
...  
Keyword(s):  
Tissue Engineering ◽  
Stem Cells ◽  
Bone Marrow ◽  
Femoral Head ◽  
Refractory Disease ◽  
Pathogenic Factor ◽  
Osteonecrosis Of Femoral Head ◽  
Critical Challenge

Osteonecrosis of femoral head (ONFH), a common refractory disease, is not fully understood today. Hypoxia caused by ischemia is not only an important pathogenic factor, but also a critical challenge...

Does Deep Femoral Artery Revascularization as an Isolated Procedure Play a Role in Chronic Critical Limb Ischemia?

2004 ◽  
Vol 11 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Nicolas Diehm ◽  
Hannu Savolainen ◽  
Felix Mahler ◽  
Jürg Schmidli ◽  
Do-Dai Do ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Deep Femoral Artery ◽  
Chronic Critical Limb Ischemia
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