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

Claassen, Horst; Schmitt, Oliver; Schulze, M.; Wree, Andreas

doi:10.1016/j.aanat.2021.151730

Cited by 6 publications

(4 citation statements)

References 27 publications

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“…The main anatomical variations of the DFA reported in the literature are cataloged within the following groups: 1- high origin , 2 , 6 , 9 , 11 , 12 cases in which the DFA originates in the pelvis or in 1-2 cm inferiorly to the inguinal ligament; 2- accessory DFA , 11 , 13 an additional branch that arises near or isolated from the main DFA and follows a separate course; 3- absence or hypoplasia , 14 - 16 DFA is missing or significantly reduced, in such cases the blood supply is maintained through collateral anastomoses; 4- branching variations , 3 , 11 , 12 , 17 the number, size, origin, and branching pattern of the medial and lateral femoral circumflex arteries as well as perforating arteries differ in a variety of ways; 5- course of the DFA , 6 , 7 , 12 , 17 the main stem of the DFA is presented in a lateral, posterolateral, posterior, posteromedial or medial arrangement in relation to the FA.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral high origin and superficial trajectory of the deep femoral artery: clinical and applied anatomy

Deveaux,

Mayer

2024

Autops Case Rep

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The anatomy of the femoral triangle is explored in various approaches, ranging from pulse verification to invasive catheterization procedures. Within the femoral triangle, the deep femoral artery is one of the vessels reported to present several anatomical variations that must be considered before clinical or surgical interventions. Here, we are reporting a unique bilateral variation of the deep femoral artery for medical education purposes and reflecting on its applied, surgical, and clinical anatomy. During the dissection of the femoral triangle, we observed that the deep femoral artery originated in the vicinity of the inguinal ligament and ran in parallel with the femoral artery in a superficial trajectory on both sides of the donor. On the right side, the DFA continued superficial for 8.8 cm, with an origin of 1.2 cm inferior to the inguinal ligament. On the left side, it presented a similar anatomical arrangement, though with an origin of 1.6cm inferior to the inguinal ligament and a superficial course of 5cm. The position of the lateral circumflex femoral vein posterior to the deep femoral artery played a role in this distinctive, lengthy, and superficial presentation of the deep femoral artery. This anatomical variation directly affects surgical procedures, diagnostics, and endovascular interventions. A deep femoral artery with such a lengthy superficial trajectory can be mistakenly used for catheterization instead of the femoral artery or be injured, disrupting the main blood supply of the thigh muscles.

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Section: Discussionmentioning

confidence: 99%

“… 7 , 8 Usually, these vessels play crucial roles in the vascular supply to the thigh, hip, femoral neck, and surrounding structures. MCFA and LCFA variants may arise directly from the FA, 9 , 10 which in turn makes the DFA originate in the middle 1/3 of the thigh with a significantly smaller caliber. 7 …”

Section: Introductionmentioning

confidence: 99%

Bilateral high origin and superficial trajectory of the deep femoral artery: clinical and applied anatomy

Deveaux,

Mayer

2024

Autops Case Rep

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“…Instead of the DFA, the main femoral vessel entering the adductor canal is the femoral artery (FA). Thus, the paragraph of the published text "The FA after giving of the deep femoral artery (DFA), usually 3-4 cm distal to the IL, gives of the lateral and the medial circumflex FAs (LCFA and MCFA)" remains as it is, and the missing citation [4] was added.…”

mentioning

confidence: 99%

“…The text "The DFA typically courses along the femur's anteromedial side within the femoral triangle (FT) to enter the adductor canal, passes between thigh muscles, and penetrates the adductor hiatus, joining the popliteal artery's branches [2,4]" is modified to.…”

mentioning

confidence: 99%