scholarly journals Anatomic Variations of the Deep Femoral Artery and Its Branches: Clinical Implications on Anterolateral Thigh Harvesting

Cureus ◽  
2020 ◽  
Author(s):  
Georgia Tzouma ◽  
Nikolaos A Kopanakis ◽  
George Tsakotos ◽  
Panagiotis N Skandalakis ◽  
Dimitrios Filippou
Keyword(s):  
Femoral Artery ◽  
Clinical Implications ◽  
Anatomic Variations ◽  
Deep Femoral Artery ◽  
Anterolateral Thigh

scholarly journals High origin of the deep femoral artery: a case report and literature review

2011 ◽  
Vol 10 (3) ◽  
pp. 243-245 ◽  
Author(s):  
Vishal Kumar ◽  
Veerannasetty Vinay Kumar ◽  
Bukkambudhi Virupakshamurthy Murlimanju ◽  
Natanahalli Sathyanarayana Naveen
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Femoral Artery ◽  
Relevant Literature ◽  
Clinical Implications ◽  
Deep Femoral Artery ◽  
Arterial Variations ◽  
Circumflex Femoral Artery ◽  
Lateral Circumflex Femoral ◽  
Femoral Triangle

Arterial variations of the femoral triangle are rarely reported in the literature. In the present article, we have reported a case of high origin of the deep femoral artery, which was originating just lower to the inguinal ligament. It was also observed that the lateral circumflex femoral artery arose directly from the femoral artery instead from the deep femoral artery. We have discussed the anatomy, embryological basis, and clinical implications of these variations along with relevant literature review. The importance of knowledge about these variations in therapeutic and diagnostic interventions is discussed.

Perforator Variability of the Anterolateral Thigh Flap Identified on Computed Tomographic Angiography: Anatomic and Clinical Implications

2020 ◽  
Vol 36 (08) ◽  
pp. 616-624
Author(s):  
Oriana D. Cohen ◽  
Salma A. Abdou ◽  
Ian T. Nolan ◽  
Pierre B. Saadeh
Keyword(s):  
Lower Extremity ◽  
Femoral Artery ◽  
Computed Tomographic Angiography ◽  
Anterolateral Thigh Flap ◽  
Clinical Implications ◽  
Computed Tomographic ◽  
Circumflex Femoral Artery ◽  
Anterolateral Thigh ◽  
Tomographic Angiography ◽  
Alt Flap

Abstract Background The anterolateral thigh (ALT) flap is a useful flap with minimal donor site morbidity. Preoperative computed tomographic angiography (CTA) for lower extremity reconstruction can determine vessel integrity and plan for recipient vascular targets. This study reviews lower extremity CTAs to further characterize ALT vascular anatomy and associated clinical implications thereof. Patients and Methods Lower extremity CTA studies were retrospectively reviewed, and information on ALT cutaneous perforator location, origin, and course was collected. Results A total of 58 lateral circumflex femoral artery (LCFA) systems in 31 patients were included. Average age was 38.8 ± 15.9 years with mean body mass index of 27.2 ± 5.7 kg/m2. The majority of patients were females (23, 74.2%). The LCFA most commonly originated from the profunda femoris artery (87.3%), followed by the distal common femoral artery (9.1%). On average, there were 1.66 ± 0.69 cm perforators per extremity, with an average of 5.38 cm between adjacent perforators. Perforators originated from the descending branch of the LCFA in 89.6% of studies. Perforator caliber was <1 mm (29, 30.2%), 1 to 2 mm (55, 57.3%), or >2 mm (12, 12.5%). Mean distance from the most proximal perforator to the anterior superior iliac spine was 20.4 ± 4.82 cm. Perforators were musculocutaneous (46.9%), septocutaneous (34.4%), or septomyocutaneous (18.8%). In 58.1% of patients, only one thigh had easily dissectable septocutaneous and/or septomyocutaneous perforators, in which case preoperative CTA aided in donor thigh selection. Conclusion ALT flap cutaneous perforator anatomy varies considerably. Using CTA, we report on rates of septocutaneous, myocutaneous, and septomyocutaneous perforators and underscore its utility in perforator selection.

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

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

Syndactylization as a technique in treatment of infectious limb following aortobifemoral reconstruction

Vascular ◽  
2013 ◽  
Vol 21 (3) ◽  
pp. 157-158 ◽  
Author(s):  
Nikola S Ilic ◽  
Marko Dragas ◽  
Igor Koncar ◽  
Dusan Kostic ◽  
Sinisa Pejkic ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Deep Femoral Artery ◽  
Vascular Surgeon

The infection in vascular surgery is a nightmare of every vascular surgeon. There are numerous ways of treatment but neither one is definitive. We present the case of the patient with infectious limb following aortobifemoral reconstruction treated by partial graft extirpation and with re-implantation of the superficial femoral artery into deep femoral artery.

scholarly journals Endovascular therapy for severely calcified plaque at the superficial femoral artery using myocardial biopsy forceps

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Shojiro Hirano ◽  
Atsushi Funatsu ◽  
Shigeru Nakamura ◽  
Takanori Ikeda
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Calcium Score ◽  
Biopsy Forceps ◽  
Myocardial Biopsy ◽  
Deep Femoral Artery ◽  
Total Occlusion ◽  
Stent Expansion ◽  
Calcified Plaque ◽  
The Right

Abstract Background Currently, the success rate of EVT for treating CTO of the SFA is high; however, EVT is still found to be insufficient in treating CTOs with severely calcified lesions. Even if the guidewire crosses the lesion, the calcifications may still cause difficulties during stent expansion. Main text A 78-year-old male had been reported to have intermittent claudication with chronic total occlusion (CTO) of the right superficial femoral artery (SFA). Angiography revealed severely calcified plaque (Angiographic calcium score: Group4a [1]) at the ostium of the SFA. Stenting posed a risk of underexpansion, causing the plaque to shift to the deep femoral artery. we decided to remove the calcified plaque using biopsy forceps. After removing the extended calcified plaque, the guidewire could cross easily, and the self-expandable stent was well dilated without causing the plaque to shift to the DFA. Conclusions Biopsy forceps may be used in some endovascular cases to remove severely calcified lesions. To ensure the safety of the patient, the physician must be adept at performing this technique before attempting it.

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