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Complications of femoropopliteal and infrapopliteal arterial bypass
Published in Sachinder Singh Hans, Mark F. Conrad, Vascular and Endovascular Complications, 2021
Frank M. Davis, Peter K. Henke
The common femoral artery is most frequently used as the inflow vessel for infrainguinal bypasses. A vertical incision is made directly over the medial third between the pubic tubercle and the anterior superior iliac spine. Adequate time should be spent ligating and cauterizing all lymphatics to reduce the risk of a lymphocele. Upon entering the femoral sheath, the common femoral artery is dissected proximally to the inguinal ligament. Distally, the common femoral artery divides into the superficial and the deep femoral artery. The lateral femoral circumflex vein crosses anterior to the deep femoral artery at the level of bifurcation. Following identification of all vessels, Silastic vessel loops are placed around each vessel to establish vessel control.
Lower Limb
Published in Rui Diogo, Drew M. Noden, Christopher M. Smith, Julia Molnar, Julia C. Boughner, Claudia Barrocas, Joana Bruno, Understanding Human Anatomy and Pathology, 2018
Rui Diogo, Drew M. Noden, Christopher M. Smith, Julia Molnar, Julia C. Boughner, Claudia Barrocas, Joana Bruno
The femoral artery and its three branches are all located in the anterior compartment of the thigh, but which vessels supply the posterior thigh? The deep femoral artery gives rise to the perforating branches of the deep femoral artery, which pierce the adductor magnus muscle to provide supply to the medial and posterior thigh muscles. Similar to the “trick” of the deep humeral artery that supplies the posterior compartment of the upper limb, the “trick” of the perforating branches gets around the fact that there is only a major artery entering the arm and thigh, and that this artery (brachial artery in the arm and femoral artery in the thigh) is located on the anterior side.
The role of the interventionalist in peripheral vascular interventions
Published in Ever D. Grech, Practical Interventional Cardiology, 2017
Alfred Hurley, Jayant Khitha, Tanvir Bajwa
Anatomically, because the common femoral artery lies over the hip joint, stent placement has been associated with stent thrombosis and restenosis (Figure 44.4). In this region, iliofemoral bypass or endarterectomy with patch angioplasty has been the best treatment. Percutaneous atherectomy, cutting balloon PTA or a drug-coated balloon can be second-line therapy for patients who are poor surgical candidates. Likewise, the deep femoral artery (which serves as collateral blood supply with superficial femoral artery [SFA] disease) is typically treated surgically and only approached percutaneously in poor surgical candidates with limb-threatening ischaemia.
Cervical artery dissection: fibromuscular dysplasia versus vascular Ehlers–Danlos syndrome
Published in Blood Pressure, 2019
Caroline Henrard, Hendrica Belge, Sophie Fastré, Silvia Di Monaco, Nicole Revencu, Frank Hammer, Agnès Pasquet, Alexandre Persu
Three months prior to carotid dissection, the patient’s one-year older sister who practised competitive sports (triathlon) presented a dissection of the left common iliac artery, which extended to the external iliac artery, the ostium of the superficial femoral artery and the origin of the deep femoral artery. The latter was attributed to her high level physical activity. Spontaneous outcome was favorable. Notably, a cervico-cephalic MRA revealed an asymptomatic dissection of the left vertebral artery. No other vascular lesions were found in the abdominal region.
Free flap reconstruction of Achilles tendon and overlying skin defect using ALT and TFL fabricated chimeric flap
Published in Case Reports in Plastic Surgery and Hand Surgery, 2019
Junji Ando, Minoru Sakuraba, Atsushi Sugawara, Aya Goto, Shuchi Azuma, Nobuyuki Mitsuhashi, Kousuke Sasaki, Itaru Sone
In this case, the descending branch of the lateral circumflex femoral artery (LCFA), the pedicle of the ALT flap, branched directly from the deep femoral artery or common femoral artery. As a result, the vascular pedicles of the ALT and TFL flaps were independent of each other. Therefore, the descending branch of the LCFA was anastomosed with the posterior tibialis vessels in an end-to-side fashion first, while the vascular pedicle of the TFL flap was anastomosed with the side branch of the descending branch of the LCFA in an end-to-end fashion.