A Cadaveric Study of Variations in the Origin of Lateral Circumflex Femoral Artery

Darji, Apurva P; Chauhan, Hitesh; Shrimankar, Paras; Khatri, Hardik; Aterkar, Swati; Pensi, C. A.; Patel, Shreya

doi:10.16965/ijar.2015.331

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…In general, the proximal perforator vessels have high chance to be septocutaneous perforator, whereas middle and distal parts of thigh perforator vessels were usually the musculocutaneous perforator. These findings on the distribution of ALT perforator vessels and type of cutaneous perforators are similar to those reported in previous studies [2,4,[8][9][10]. Among the 142 ALT flaps, there was one case of ALT flap with perforator vessels located at the distal part of the thigh (C).…”

Section: Discussionsupporting

confidence: 89%

“…Thus, the untoward aspects of the ALT flap are the complexity and variation of its vasculature that might complicate during flap harvest. Despite the variation of its origin, the dominant perforator vessels supply to the ALT was found abundantly in the center of the ALT [2,4,[8][9][10]. The simple ABC system is reliable in predicting the perforator vessel location during harvesting and dissecting the flap.…”

Section: Introductionmentioning

confidence: 99%

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Distribution of Anterolateral Thigh Flap Perforator Vessels and Its Clinical Applications in Malaysian Population

Suondoh

Sulaiman

Halim

et al. 2020

Arch Hand Microsurg

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Purpose: Extensive studies regarding vascular anatomy and clinical applications of anterolateral thigh (ALT) flap has been conducted for many years. However, the ALT flap perforator vessels anatomy in the Malaysian population is not well-analyzed. The purpose of this study was to determine the distribution of ALT flap perforator vessels and its clinical applications in reconstructive surgery.Methods: This is a retrospective cross-sectional study conducted in two main centers of reconstructive surgery. A total of 142 cases of ALT flaps that used as an option for soft tissue reconstruction was selected. Vascular anatomy of ALT flaps was studied precisely including the origin of vessels, location of perforators, and types of perforator vessels intraoperatively during the flap harvest.Results: The distribution of ALT flap perforator vessels can be found at three specific locations on the thigh namely perforators A, B, and C. The highest number of cutaneous perforator vessels that supplied the ALT flap was musculocutaneous perforator with 72.3%, and dominantly at perforators B and C. The remaining perforator vessels were septocutaneous perforator with 27.7%, presented mainly at perforator A. A majority of cases involved the reconstruction of wound defects following tumor resection and trauma. The most area of reconstruction was the lower limb with 33.8%.Conclusion: The distribution of ALT flap perforator vessels can be predicted during flap harvest and can be applied in numerous clinical applications for wound defect coverage. The knowledge regarding vascular anatomy of ALT flap perforator vessels can aid plastic surgeons in reconstructive surgery.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Distribution of Anterolateral Thigh Flap Perforator Vessels and Its Clinical Applications in Malaysian Population

Suondoh

Sulaiman

Halim

et al. 2020

Arch Hand Microsurg

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“…MCFA shows high incidence of origin from FA as shown by many studies, the percentage ranging from as low as 3.3% to 39.3% [10]. The MCFA might also arise from LCFA or from the Superficial femoral artery (SFA) after giving off the PFA [11,12]. When the artery arises from the FA its origin is at higher level than when it arises from PFA/LCFA or SFA.…”

Section: Discussionmentioning

confidence: 99%

Morphometry of Profunda Femoris Artery and Its Correlation With Femoral Artery: A Cadaveric Study

Appaji¹,

Desai²

2017

IJAR

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Background: The Profunda femoris artery (PFA) is a branch of Femoral artery given off in the femoral triangle of the lower limb. It is of clinical importance as it provides to be main feeder artery for the anastomosis in the back of thigh through the perforator branches. It is useful for many invasive and noninvasive procedures like Doppler, ultrasonography, arteriography etc. The main objective of the study was to study the origin of the PFA, distance of origin from the bony landmarks, its branches and its external caliber.Material and Methods: 30 cadavers (15 right and 15 left lower limbs) were used for the study. The skin was incised and layers were reflected to reach the femoral artery in the femoral triangle. The femoral artery was traced and dissected for the origin and branching pattern of the PFA. The site of origin of the PFA with respect to the Femoral artery was noted. The distance of origin of the PFA from the pubic tubercle, mid-inguinal point and anterior superior iliac spine was measured in cms. The branches of the PFA were noted for any variations.Results: The PFA originated from the Femoral artery most commonly on the postero-lateral aspect and posterior to the femoral artery. The mean external caliber of the PFA was 0.55 and 0.54 cms on the left and right side respectively. The distance of the origin from the ASIS, PT and MIL were 9.52, 6.05, 5.98 on the right side and 9.71, 6.32 and 6.06 cms on the left side respectively. There was a positive correlation between the caliber of PFA and femoral artery. The most common variation in the branching pattern of PFA was lateral circumflex femoral artery arising from the femoral trunk. Conclusion:The Profunda Femoris artery is an important branch of the Femoral artery and is of critical importance to the surgeon. Its variations and difference in site of origin and morphometry facilitates the surgeons while planning for their investigative procedures. It also acts as replacement for Femoral artery when the caliber of the latter is decreased.

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Deep femoral artery: A new point of view based on cadaveric study

Claassen

Schmitt

Schulze

et al. 2021

Annals of Anatomy - Anatomischer Anzeiger

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A Cadaveric Study of Variations in the Origin of Lateral Circumflex Femoral Artery

Cited by 3 publications

References 15 publications

Distribution of Anterolateral Thigh Flap Perforator Vessels and Its Clinical Applications in Malaysian Population

Distribution of Anterolateral Thigh Flap Perforator Vessels and Its Clinical Applications in Malaysian Population

Morphometry of Profunda Femoris Artery and Its Correlation With Femoral Artery: A Cadaveric Study

Deep femoral artery: A new point of view based on cadaveric study

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