Descending branch of lateral femoral circumflex artery as a free graft for myocardial revascularization: A case report

Tatsumi, Takahiko; Tanaka, Yoshio; Kondoh, K; Minohara, S; Sawada, Yoshihide; Tsuchida, Takao; Tajima, Sadao; Sasaki, Satoshi

doi:10.1016/s0022-5223(96)70288-x

Cited by 28 publications

(11 citation statements)

References 4 publications

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“…However, in the operating room, we observed a high rate of patients (19%) in whom the graft was considered inappropriate for use due to anatomical variations, such as short length, narrow lumen diameters, and silent atherosclerosis. These results led us to change our initial opinion, and we concluded that a preoperative femoral arteriographic or ultrassonographic evaluation was mandatory for all scheduled patients, as previously recommended by some authors [13,17]. Dissection of the DLFCA graft was usually simple, quick, free from local complications, and had good aesthetic results.…”

Section: Discussionmentioning

confidence: 82%

“…The first case in which the DLFCA was used as a graft in CABG was performed in Japan and was reported by Tatsumi et al [13], in 1996, when the DLFCA was used as a free graft from the aorta to the right coronary artery. Two years later, Schamún et al [14] reported promising results using the DLFCA as a coronary graft in 35 patients, with most cases employing early evaluation via angiographic studies after surgery.…”

Section: Revmentioning

confidence: 99%

“…Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Bras Cir Cardiovasc 2013;28(3):317-24 Gaiotto FA, et al -The descending branch of the lateral femoral circumflex artery is a good option in CABG with arterial grafts Some authors recommend femoral arteriography before every CABG [13,17] in which the DLFCA is a planned graft because this vessel can present anatomical variations, such as short length, narrow lumen diameter or anomalous origins, that make it difficult to dissect and use [18]. Another reason to perform preoperative femoral arteriography is to verify the presence of atherosclerosis.…”

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confidence: 99%

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The descending branch of the lateral femoral circumflex artery is a good option in CABG with arterial grafts

Gaiotto

Vianna

Busnardo

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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Rev Bras Cir Cardiovasc | Braz J Cardiovasc SurgRev Bras Cir Cardiovasc 2013;28(3):317-24 Gaiotto FA, et al. -The descending branch of the lateral femoral circumflex artery is a good option in CABG with arterial grafts RBCCV 44205-1476 DOI: 10.5935/1678 The descending branch of the lateral femoral circumflex artery is a good option in CABG with arterial grafts Ramo descendente da artéria circunflexa lateral femoral é boa opção para revascularização do miocárdio com enxertos arteriais ORIGINAL ARTICLE Abstract Introduction:The descending branch of the lateral femoral circumflex artery is an option for coronary artery bypass grafting.Objective: To evaluate the early patency and adaptation of lumen diameter using multidetector computed angiotomography.Methods: Thirty-two patients were selected to undergo coronary artery bypass grafting using the descending branch of the lateral circumflex artery, the internal thoracic artery, and other grafts. Evaluations were carried out through high resolution computed tomography performed on the 7 th and 90 th postoperative day. Diameters of the descending branch of the lateral circumflex artery and the left internal thoracic artery were measured 3 cm before the distal anastomosis, in the middle portion, and 3 cm after the proximal anastomosis. Diameters were compared using paired t-test (P<0.05).Results: Descending branch of the lateral femoral circumflex artery wDescending branch of the lateral femoral circumflex artery was used in 26 patients, as its use was not viable in six patients (18%). It was used as composite graft in all cases. The anterior descending branch was revascularized by the left internal thoracic artery in all cases. Patency rates of the descending branch of the lateral femoral circumflex artery were 96% and 92%, respectively. No occlusions were observed in the left internal thoracic artery (LITA) and no ischemic events were observed in the descending branch of the lateral circumflex. Descending branch of the lateral femoral circumflex artery increased the lumen diameter in the middle (P=0.001) and distal portions (P=0.006); the left internal thoracic artery (LITA) increased in the middle portion (P=0.001).Conclusion: Similar to the left internal thoracic artery, the descending branch of the lateral femoral circumflex artery showed high patency rate and positive luminal adaptation. This early evaluation confirms the descending branch of the lateral femoral circumflex artery as a potential alternative for grafting. Due to anatomical variations, preoperative femoral angiographic evaluation appears to be mandatory. Descriptors:Tomography. Myocardial revascularization. Coronary disease. 318Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Bras Cir Cardiovasc 2013;28(3):317-24 Gaiotto FA, et al. -The descending branch of the lateral femoral circumflex artery is a good option in CABG with arterial grafts RevThe first case in which the DLFCA was used as a graft in CABG was performed in Japan and was reported by Tatsumi et al. [13], in 1996, when the DLFCA was us...

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Section: Discussionmentioning

confidence: 82%

Section: Revmentioning

confidence: 99%

mentioning

confidence: 99%

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The descending branch of the lateral femoral circumflex artery is a good option in CABG with arterial grafts

Gaiotto

Vianna

Busnardo

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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“…Experience with the use of this vessel as a pedicle for microsurgical flaps has led surgeons to apply the vessel to vascular bypass in extremity reconstruction and coronary artery bypass grafting. 5,10,13,16,18 Its use for coronary bypass has been associated with high rates of patency and a low incidence of spasm. 5 Although the DLCFA may be free of disease, the vessel can serve as an essential route for collateral blood flow to the leg and foot in cases of occlusive disease of the superficial system.…”

Section: Discussionmentioning

confidence: 99%

“…18 In this report we describe the first case in which a DLCFA interpositional graft was used as a highflow graft for flow replacement after vessel sacrifice.…”

mentioning

confidence: 99%

Alternative vascular graft for extracranial–intracranial bypass surgery: descending branch of the lateral circumflex femoral artery

Başkaya¹,

Kiehn

Ahmed³

et al. 2008

FOC

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Object Arterial bypass is an important method of treating intracranial disease requiring sacrifice of the parent vessel. The conduits for extracranial–intracranial (EC–IC) bypass surgery include the superficial temporal artery, occipital artery, superior thyroid artery, radial artery, and saphenous vein (long or short). In an aging population with an increased prevalence of vascular disease, conduits for EC–IC bypass may be in short supply in some patients. Herein, the authors describe a case in which the descending branch of the lateral circumflex femoral artery (DLCFA) was utilized as a high-flow conduit for an EC–IC bypass. Methods This 22-year-old woman presented with irregular menstrual periods, secondary amenorrhea, and hypothyroidism. A giant intrasellar and suprasellar mass was found. Angiography confirmed a 3.5 × 2.1–cm fusiform aneurysm involving the cavernous and supraclinoid segments of the right internal carotid artery. A suitable radial artery conduit was not available. The DLCFA was harvested and anastomosed between the M2 segment of the middle cerebral artery and the external carotid artery. Results Durable clinical and angiographic results were apparent at the 2-month follow-up. Conclusions The DLCFA's diameter and length were used successfully in a high-flow EC–IC bypass surgery. The DLCFA may be a good alternative to radial artery and saphenous vein grafts for an EC–IC bypass requiring high flow.

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The descending branch of the lateral circumflex femoral artery as an alternative conduit for coronary artery bypass grafting: Experience from an anatomical, radiological and histological study

et al. 2016

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The descending branch of the lateral circumflex femoral artery (DBLCFA) has been suggested as an option for use in coronary artery bypass grafting (CABG). Our aim was to combine radiological examination, surgical and anatomical preparation, and histological assessment of the DBLCFA to map its variability and to assess the benefits of this conduit in cardiac surgery. The pelvic and femoral arteries were examined by CT angiography (CTA) in 100 patients (aged 68.3 ± 9.3 years) to assess the variability of the DBLCFA. Anatomical dissections were performed on 20 cadavers. In 15 patients, an autologous DBLCFA was implanted during CABG. In 35 samples, possible atherosclerotic lesions were examined histologically. The length of the potential DBLCFA conduits measured by CTA was 9.3 ± 2.9 cm, without correlating with the length of the thigh. Anatomical variations that would prevent the DBLCFA from being used in CABG were found in 27 out of 100 patients. Except for focal thickening of the intima, eccentric hypertrophy of the intima was found in three out of 35 samples. No inflammatory infiltration, foam cells, atheroma, or calcifications were found histologically. The DBLCFA is not to be used routinely or in preference to other grafts of choice. However, owing to its moderate variability, sufficient length, caliber, and rare atherosclerosis, it can be used in the absence of other suitable grafts as an alternative conduit implanted as a composite Y-graft end-to-side to the internal thoracic artery in patients without diabetic angiopathy, neuropathy or peripheral artery disease who are undergoing extensive or repeat coronary revascularization. Clin. Anat. 29:779-788, 2016. © 2016 Wiley Periodicals, Inc.

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Descending branch of lateral femoral circumflex artery as a free graft for myocardial revascularization: A case report

Cited by 28 publications

References 4 publications

The descending branch of the lateral femoral circumflex artery is a good option in CABG with arterial grafts

The descending branch of the lateral femoral circumflex artery is a good option in CABG with arterial grafts

Alternative vascular graft for extracranial–intracranial bypass surgery: descending branch of the lateral circumflex femoral artery

The descending branch of the lateral circumflex femoral artery as an alternative conduit for coronary artery bypass grafting: Experience from an anatomical, radiological and histological study

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