Variational anatomy of the deep femoral artery

Siddharth, P; Smith, Noelle B.; Mason, Robert A.; Giron, Fabio

doi:10.1002/ar.1092120216

Cited by 77 publications

(66 citation statements)

References 8 publications

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“…This indicates that the origin of the right profunda is usually distal to the origin of the left profunda femoris by 0.365 cm, which is similar to the study by Bannister et al, but more than the average distance of origin has been reported by Snell 4 cm, Siddharth et al 4.4 cm, and Dixit et al 4.75 cm [1,4,6,7]. High origin of PFA can cause problems in procedures such as femoral arterial and venous puncture and femoral nerve blocks because of the close relationship between vessels and nerves in the femoral triangle.…”

Section: Discussionsupporting

confidence: 87%

“…Many authors reported that the usual origin of MCFA was from profunda femoris in 79 % by Tanyeli et al, 64 % by Siddharth et al, 62.5 % by Dixit et al, and 83.3 % by Gautier et al [4,7,9,10], but we found only 50 % of Fig. 1 (continued) MCFA from PFA and a common stem of origin for both MCFA and PFA in 7.5 %.…”

Section: Discussioncontrasting

confidence: 46%

“…In 42.5 % of cases, it directly arose from the femoral artery which is relatively higher than studies by Bergmann et al [3,4,7,9,10]. Since it arises at a higher level than the lateral femoral, it is an important collateral for the PFA when the common femoral artery or origin of profunda femoris is diseased [4].…”

Section: Discussionmentioning

confidence: 81%

“…Differing patterns of the origin of the PFA and its branches have been described on a racial basis as well as variations being noted between the two legs of the same individual [4]. The point of origin of profunda from the femoral artery is usually stated to be about 4 cm distant from the inguinal ligament [3], but the figure must be taken as an average from which there may be wide departure.…”

Section: Discussionmentioning

confidence: 99%

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Anatomical Variations of the Profunda Femoris Artery and Its Branches—A Cadaveric Study in South Indian Population

Manjappa¹,

Prasanna²

2012

Indian J Surg

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The variations of the profunda and its branches are numerous, and, to a considerable extent, largely associated with one another. In 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. This study based on dissections performed on 40 properly embalmed human cadaver specimens. The position, source and the point of origin of the profunda and its circumflex branches were studied and compared with earlier literature. We found that profunda femoris was originated from the posterolateral surface of the common femoral artery with a mean distance of 3.56 cms from the midinguinal point. An absence of profunda femoris was noted in one (5 %) case. Medial circumflex femoral artery (in 40 % on right side and 60 % on left side) originated from the profunda femoris; whereas in 50 % on right and 35 % on left side, it begins from the femoral artery. On the otherhand, the lateral circumflex femoral in 80 % on right and 70 % on left sides sprungs from profunda femoris with 20 % and 25 % from common femoral arteries of right and left limb specimens respectively. Knowledge of variations in profunda femoris and its branches helps 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 bypasss, in radiological interventions for A-V malformations, and in salvage operations for traumatic limb ischemia.

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Section: Discussionsupporting

confidence: 87%

Section: Discussioncontrasting

confidence: 46%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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Anatomical Variations of the Profunda Femoris Artery and Its Branches—A Cadaveric Study in South Indian Population

Manjappa¹,

Prasanna²

2012

Indian J Surg

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“…The average distance of the origin of lateral circumflex artery from the profunda femoris artery in our study is found to be 21.2mm which is similar to the observation made by Prakash et al 6 (25mm).It was found to be as high as 48mm± 12mm in Turkish population 8 and as low as 15mm in Indian population 5 .…”

Section: (42mm)supporting

confidence: 90%

A study of variation in origin of profunda femoris artery and its branches

Anwer¹,

Karmalkar²,

Humbarwadi³

2013

Int J of Biomed & Adv Res

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Objective- To study the variations in origin of profunda femoris artery and its branches in cadavers.

Materials and Methods- In the present study, dissection was performed on 60 lower extremities of 30 embalmed cadavers in the department of anatomy, Dr.D.Y.Patil Medical college, Kolhapur. Prevalence of the mode and configurations of origins of the profunda femoris artery, medial and lateral femoral circumflex arteries were observed.

Result- In our study we found that Profunda femoris artery was originating from the femoral artery 37.12 mm distal to the midpoint of the inguinal ligament. The lateral and medial femoral circumflex arteries were originating directly from femoral artery in 15% and 22% of extremities respectively.

Conclusion- Clinicians and surgeons should be fully aware with such variations while performing any invasive, diagnostic and therapeutic procedures.

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Patterns of the circumflex femoral arteries revisited

et al. 2006

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Knowledge of variations of the circumflex femoral arteries is important when undertaking clinical procedures within the femoral region and in hip joint replacement. Since the 19th century, many different patterns have been proposed to classify their origins. This work studied a statistically reliable sample, the lower limbs of 221 embalmed human cadavers (equal right-left and approximately equal sex distributions), and reviewed the previous literature to propose a unified and simple classification that will be useful to clinicians. Statistical comparisons were made using the chi(2) test. The medial and lateral circumflex femoral arteries have been classified into three different patterns based on the levels of their origin. Distribution related to sex and side was also studied. Pattern I: Both arteries arose from the deep femoral artery (346 cases, 78.8%). This pattern was more frequent in females, P = 0.01. There was no significant difference between sides. Type Ia, medial circumflex femoral artery origin was proximal to the lateral circumflex femoral artery origin (53.2%); Type Ib, lateral circumflex femoral artery origin was proximal to medial circumflex femoral artery origin (23.4%); Type Ic, both arteries arose from a common trunk (23.4%). Pattern II: One of the arteries arose from the femoral artery and the other from the deep femoral artery (90 cases, 20.5%). Type IIa, the medial circumflex femoral artery arose from the femoral artery (77.8%) and Type IIb, the lateral circumflex femoral artery arose from the femoral artery (22.2%). There were no significant differences between sexes or sides. Pattern III: Both arteries arose from the femoral artery (2 cases, 0.5%). In every disposition there was a significantly higher prevalence of unilateral rather than bilateral occurrence. In one dissection the medial circumflex femoral artery was absent. Awareness of these variations could avoid unexpected injuries.

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Variational anatomy of the deep femoral artery

Cited by 77 publications

References 8 publications

Anatomical Variations of the Profunda Femoris Artery and Its Branches—A Cadaveric Study in South Indian Population

Anatomical Variations of the Profunda Femoris Artery and Its Branches—A Cadaveric Study in South Indian Population

A study of variation in origin of profunda femoris artery and its branches

Patterns of the circumflex femoral arteries revisited

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