Origin of profunda femoris artery and its circumflex femoral branches: anatomical variations and clinical significance

Nasr, Ashraf Youssef; Badawoud, Mohammed H.; Al-Hayani, Abdulmonem; Hussein, Adel M.

doi:10.5603/fm.2014.0008

Cited by 26 publications

(36 citation statements)

References 10 publications

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“…Another study conducted by Lippert and Pabst [10] also found the MFCA to originate most often from the DFA (58%) and to a lesser extent from the FA (18%). Similar observations have been made by Vazquez et al [28], Vuksanovic-Bozaric et al [29], Tanyeli et al [24], Prakash et al [20], Gautier et al [8], Siddharth et al [22], and Nasr et al [14]. In contrast, Zlotorowicz et al [30] found them to origin more often from the FA than from the DFA, and a study by Al-Talalwah [2] found the frequencies of occurrence to be quite similar, i.e.…”

Section: Discussionsupporting

confidence: 84%

“…The anatomical variations of the vessels of the lower limb have long received attention from various authors [3, 5-9, 12-14, 19-22]. Within the arterial network of the lower limb, a number of variations can be seen regarding the morphology of the femoral artery (FA) and its main branches, especially the medial femoral circumflex artery (MFCA) and lateral femoral circumflex artery (LFCA) [8,9,14,19,22,[24][25][26]. The FA is found below the inguinal ligament as a continuation of the external iliac artery, and serves as the main vessel carrying blood to the lower limb.…”

Section: Introductionmentioning

confidence: 99%

“…Surgical and radiological procedures in the area of the hip joint are frequent, so knowledge of possible anatomical variants of the FA and its branches is essential in everyday practice. For example, orthopaedists performing total hip replacements, trochanteric or intratrochanteric osteotomies [14,24] and radiologist performing transluminal stent implementation and angioplasty, embolectomy or diagnostic angiography [28,29] will find such information valuable.…”

Section: Introductionmentioning

confidence: 99%

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A morphological study of the medial and lateral femoral circumflex arteries: a proposed new classification

Łabętowicz¹,

Olewnik²,

Podgórski³

et al. 2019

Folia Morphol

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Background: Confirming the branching pattern of the deep femoral artery (DFA) is vital in planning radiological and surgical procedures involving the medial circumflex femoral artery (MFCA) and the lateral circumflex artery (LFCA). The aim of this study was to characterise the course and morphology of branches of the DFA. Materials and methods: The anatomical dissection included 80 lower limbs which were fixed in 10% formalin solution. A dissection of the femoral region was carried out according to a pre-established protocol, using traditional techniques. Morphometric measurements were obtained twice by two researchers.Results: Six types of medial and lateral femoral circumflex artery variations were distinguished. In type I, the DFA divides into the MFCA and the LFCA (observed in 45% of cases). In type II, the MFCA is absent and the LFCA origin normally from the DFA (18.75%). In type III, the MFCA arises from the femoral artery above the origin of the DFA, while the LFCA starts from the DFA (15%). Finally, in type IV, the LFCA arises from the femoral artery above the origin of the DFA, while the MFCA starts from the DFA (10%). In type V, the LFCA origin alone from the femoral artery below the origin of the DFA, while the MFCA origin from the DFA (7.5%), while in type VI (3.75%), both the MFCA and the LFCA origin from the femoral artery. The mean diameter of the femoral artery at the level of the DFA origin was greatest in type 2 (10.62 ± 2.07 mm) and the least in type 6 (7.90 ± ± 1.72 mm; p = 0.0317). The distance from inguinal ligament to where the DFA arose was the greatest in type 6 (78.24 ± 29.74 mm) and least in type 5 (28.85 ± 11.72 mm; p = 0.0529). Conclusions: The medial and lateral femoral circumflex arteries were characterised by high morphological variations. The diameter of the femoral artery at the level of inguinal ligament correlated with the diameter of the DFA and distance to where the DFA arises from femoral artery. (Folia Morphol 2019; 78, 4: 738-745)

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A morphological study of the medial and lateral femoral circumflex arteries: a proposed new classification

Łabętowicz¹,

Olewnik²,

Podgórski³

et al. 2019

Folia Morphol

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“…Other rarer variations of the MCFA origin, including from the superficial femoral artery (SFA) (Siddharth et al, 1985), the external iliac artery (Clarke & Colborn, 1993), and even the LCFA (Nasr et al, 2014) have also been reported in the literature. Knowledge of the origin of the MCFA is essential in orthopedics as a means to avoid iatrogenic vascular necrosis of the femoral head in procedures such as trochanteric and intertrochanteric osteotomies (Gautier et al, 2000; Manjappa & Prasanna, 2014).…”

Section: Introductionmentioning

confidence: 99%

The origin of the medial circumflex femoral artery: a meta-analysis and proposal of a new classification system

Tomaszewski

Henry

Vikse

et al. 2016

PeerJ

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Background and Objectives. The medial circumflex femoral artery (MCFA) is a common branch of the deep femoral artery (DFA) responsible for supplying the femoral head and the greater trochanteric fossa. The prevalence rates of MCFA origin, its branching patterns and its distance to the mid-inguinal point (MIP) vary significantly throughout the literature. The aim of this study was to determine the true prevalence of these characteristics and to study their associated anatomical and clinical relevance.Methods. A search of the major electronic databases Pubmed, EMBASE, Scopus, ScienceDirect, Web of Science, SciELO, BIOSIS, and CNKI was performed to identify all articles reporting data on the origin of the MCFA, its branching patterns and its distance to the MIP. No data or language restriction was set. Additionally, an extensive search of the references of all relevant articles was performed. All data on origin, branching and distance to MIP was extracted and pooled into a meta-analysis using MetaXL v2.0.Results. A total of 38 (36 cadaveric and 2 imaging) studies (n = 4,351 lower limbs) were included into the meta-analysis. The pooled prevalence of the MCFA originating from the DFA was 64.6% (95% CI [58.0–71.5]), while the pooled prevalence of the MCFA originating from the CFA was 32.2% (95% CI [25.9–39.1]). The CFA-derived MCFA was found to originate as a single branch in 81.1% (95% CI [70.1–91.7]) of cases with a mean pooled distance of 50.14 mm (95% CI [42.50–57.78]) from the MIP.Conclusion. The MCFA’s variability must be taken into account by surgeons, especially during orthopedic interventions in the region of the hip to prevent iatrogenic injury to the circulation of the femoral head. Based on our analysis, we present a new proposed classification system for origin of the MCFA.

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“…Such type of variation carries a risk of damage to the large and unexpected arterial channel while collecting blood in infants from femoral vein and during exposure of saphenous vein for ligation at its junction with the femoral vein. [17][18] Such aberrant configuration of femoral vessels could be a cause of arterial occlusive disease in the lower limbs as found in our case. To the best of our knowledge such correlation has not been reported so far in the literature.…”

Section: Figure 6: Endarterectomy Segment Evacuated From Superficial mentioning

confidence: 58%

Aberrant configuration of femoral vessels as cause of arterial occlusive disease

et al. 2018

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Variations in the branching pattern of femoral and profunda femoris arteries have clinical implications while performing various diagnostic imaging procedures as well as during surgeries that are performed in the femoral triangle. Awareness about these variations aid surgeons during preoperative clinical evaluation for surgical and interventional revascularization of the ileo-femoral and femoro-popliteal segments, in open canulation of femoral artery for cardiopulmonary bypass, in radiological interventions for A-V malformations, and in salvage operations for traumatic limb ischemia. Here we report an aberrant configuration of profunda femoris artery which presented as a case of arterial occlusive disease of lower limb. On surgical exploration, Profunda femoris artery was found originating on the medial aspect of left common femoral artery high up in the inguinal region as compared to its usual lower and lateral origin. There was atheromatous occlusion of superficial femoral artery from its origin upto distal femoral metaphysis. In case of occlusion of the superficial femoral artery, the profunda femoris artery forms an effective collateral bed between the ileo-femoral segment and the popliteal artery and its branches. The clinical implications associated with these variations in therapeutic and diagnostic interventions is been discussed along with relevant literature review. Further study is necessary to identify aberrant configuration of femoral vessels as a cause of arterial occlusive disease in the lower limbs.

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Origin of profunda femoris artery and its circumflex femoral branches: anatomical variations and clinical significance

Abstract: Background: Knowledge of the anatomical variations of the profunda femoris artery and its circumflex branches is important during angiographic diagnostic 59Ashraf Y. Nasr et al., Origin of profunda femoris artery and its circumflex femoral branches

Cited by 26 publications

References 10 publications

A morphological study of the medial and lateral femoral circumflex arteries: a proposed new classification

A morphological study of the medial and lateral femoral circumflex arteries: a proposed new classification

The origin of the medial circumflex femoral artery: a meta-analysis and proposal of a new classification system

Aberrant configuration of femoral vessels as cause of arterial occlusive disease

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