Clinical anatomy of deep femoral vessels in the area of femoral triangle

Каlinin, R.E.; Suchkov, I.А.; Klimentova, E.A.; Shanaev, I.N.

doi:10.33529/angio2021107

Cited by 7 publications

(2 citation statements)

References 8 publications

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“…The position and number of perforators of the profound femoral artery were described in numerous anatomical analyses of the branches of the profound femoral artery, but the scope of the muscular perforators supplying to the particular muscles are not mentioned [ 30 , 31 ]. During our cadaver dissection, it is obvious that muscular perforators and dominant nerves of adductor longus flap are beneath the muscle, the main perforators are from the perforating artery of the femoral profound artery, and the dominate nerves are from the obturator nerve., while the muscular perforators and dominant nerves of sartorius flap are innervated at the same level as the muscle.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Pedicled Adductor Longus and Pedicled Sartorius Flap in Inguinal Reconstruction, a Fresh Cadaver Study

Zhang

et al. 2023

JPM

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Reconstruction surgeries in the inguinal area are challenging for vascular surgeons, oncologists, orthopedists, and others. The pedicled sartorius flap is the most commonly used flap for reconstruction. The pedicled adductor longus is reported as a new method to reconstruct the inguinal region. The related anatomic study is rare. This work aims to make a comparison of pedicled adductor longus and pedicled sartorius on cadavers for better use. Out of the 12 thighs in the 6 cadavers analyzed, the author compares two surgical methods in terms of surgical details, exposure of vascular and nerve pedicle, flap harvesting, flap transposition and flap volume, etc. Through the course of this study, it is showed that the adductor longus flap had a sizable advantage over the sartorius flap in terms of exposure, harvesting, and flap volume.

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Section: Discussionmentioning

confidence: 99%

Comparison of Pedicled Adductor Longus and Pedicled Sartorius Flap in Inguinal Reconstruction, a Fresh Cadaver Study

Zhang

et al. 2023

JPM

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“…13,14 When PFA is represented by two arterial trunks, hemodynamics become even more complicated. 15,16 Moreover, it is possible that the technical aspects of dissection of CFA bifurcation, especially PFA, during the open procedures may also adversely affect hemodynamics in the area of proximal anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic Appearance of the Lower Extremity Arteries After Femoropopliteal Bypass Surgery

Каlinin

Suchkov

Klimentova

et al. 2023

Journal of Diagnostic Medical Sonography

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Objective: The aim of this study was to assess the ultrasonographic appearance of the lower extremity arteries, after a femoropopliteal bypass surgery. Materials and Methods: Ninety patients, with atherosclerotic peripheral artery disease, underwent either autologous vein (30 subjects) or synthetic femoropopliteal bypass grafting, using an end-to-side (30 subjects) or end-to-end anastomotic technique. The outcomes were compared to 30 volunteers, who were recruited to serve as healthy controls. A lower extremity duplex ultrasonogram (DUS) was performed 1 year after treatment. The healthy volunteers underwent DUS at the point of being included in the study. Results: In healthy volunteers, the angle between the profunda femoris artery (deep femoral artery, PFA) and common femoral artery (CFA) did not exceed 30° of angulation. The diameter of the CFA, in the bifurcation area, was 9.8 ± 1.5 mm. The bypass patency rates, CFA diameter, PFA angle, and neointimal hyperplasia rates differed between the groups as presented. Conclusion: The results that were obtained may indicate the importance of bypass graft surveillance, using DUS, with precise analysis of the topography and geometry of the lower extremity arteries and vascular conduits, during the perioperative period. In addition, in this cohort, femoropopliteal bypass procedures were associated with an increase in the angle of the PFA from 30° to 80° of angulation. An increase in the diameter of the CFA in the area of the proximal anastomosis from 9.8 to 15.1 mm was also noted. In these patients, the saphenous vein bypasses were associated with minimal changes of the vascular geometry and better patency rates.

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Two Rare Anatomical Variants of Femoral Triangle Vessels in One Patient: Case Report

Каlinin

Suchkov

Klimentova

et al. 2023

I.P. Pavlov Russian Medical Biological Herald

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INTRODUCTION: The upper third of thigh the area of the femoral triangle, or Scarpas triangle, is of great importance both in anatomy and vascular surgery. It is the place of passage of the main vessels of the lower extremities: the femoral artery, femoral vein and their largest tributaries which are easily accessible in this region due to their superficial location. To note, in the vascular surgery, the femoral vessels are divided to common and superficial ones depending on the level of their location relative to deep femoral vessels. This division is extremely important in the functional aspect, since deep femoral vessels may significantly compensate for the blood flow in case of impaired patency of the superficial femoral vessels. Besides, an important tributary of the common femoral vein is the great saphenous vein forming saphenofemoral junction. Classic anatomy describes vessels of the upper third of thigh as single trunks with permanent topography. At the same time, in the literature there are commonly encountered reports of duplication of the superficial femoral vein, two trunks of the deep femoral artery, and relatively rare reports of atypical saphenofemoral junctions (about 0.02%). The work describes anatomical variants of the FT vessels in one patient: atypical saphenofemoral junction on the right and duplication of the common femoral vein on the left, two trunks of the deep femoral artery on both sides. CONCLUSION: The anatomical variants of FT vessels described in the article, are rare. It is important that clinicians know about them to avoid errors in diagnosis or surgical treatment.

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Clinical anatomy of deep femoral vessels in the area of femoral triangle

Cited by 7 publications

References 8 publications

Comparison of Pedicled Adductor Longus and Pedicled Sartorius Flap in Inguinal Reconstruction, a Fresh Cadaver Study

Comparison of Pedicled Adductor Longus and Pedicled Sartorius Flap in Inguinal Reconstruction, a Fresh Cadaver Study

Ultrasonographic Appearance of the Lower Extremity Arteries After Femoropopliteal Bypass Surgery

Two Rare Anatomical Variants of Femoral Triangle Vessels in One Patient: Case Report

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