Dynamic behaviour of the common femoral artery: age and gender of minor importance

The femoral artery/vein are commonly used for vascular access in clinical practice. The position, adjoining relationship, and anatomic variation of the femoral artery/vein may affect the success rate of catheterization. Clinically, we found a proportion of anatomic variations in the common position of the femoral artery catheterization. We intended to determine the positioning data of the femoral artery/vein to provide a partial clinical basis for catheterization by ultrasound. At the common femoral artery catheterization site, we used ultrasound to collect data on the femoral artery/vein of 208 samples. We found that the distance from the midpoint of the pubic symphysis to the surface position of the femoral artery, the distance between the central points of the femoral artery/vein, and the inner diameter of the femoral artery were significantly correlated with height, weight, and gender, and were not correlated with age, shock, hypertension, diabetes, and coronary heart disease. If branching of the femoral artery was higher than the inguinal ligament, the inner diameter of the femoral artery at the catheterization site was significantly reduced. We believe that height, weight, gender, and anatomic variation are important factors influencing the adjoining relationship and the inner diameter of the femoral artery. During extracorporeal membrane oxygenation (ECMO) catheterization, if an arterial branch is found at the femoral artery catheterization site, it is recommended to adjust the catheterization protocol.

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Initial Experience with Percutaneous Angioplasty of the Common Femoral Artery in De Novo Stenotic Lesions

Annals of Vascular Surgery ◽

10.1016/j.avsg.2015.05.002 ◽

2015 ◽

Vol 29 (8) ◽

pp. 1493-1500 ◽

Cited By ~ 11

Author(s):

Romain de Blic ◽

Jean-François Deux ◽

Hicham Kobeiter ◽

Pascal Desgranges ◽

Jean-Pierre Becquemin ◽

...

Keyword(s):

Femoral Artery ◽

De Novo ◽

Common Femoral Artery ◽

Initial Experience ◽

Percutaneous Angioplasty ◽

The Common ◽

Stenotic Lesions

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Anomalous High Bifurcation of the Common Femoral Artery at the Groin: Management of Gsv Incompetence with Endovenous Laser Ablation

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2012.012047 ◽

2012 ◽

Vol 28 (5) ◽

pp. 264-267 ◽

Cited By ~ 1

Author(s):

C Lekich ◽

W Campbell ◽

S Walton ◽

P Hannah

Keyword(s):

Laser Ablation ◽

Femoral Artery ◽

Vascular Complications ◽

Common Femoral Artery ◽

Vascular Anomalies ◽

Endovenous Laser Ablation ◽

Safe Treatment ◽

Complications Of Surgery ◽

The Common ◽

Saphenofemoral Junction

Objectives: To discuss safety of EVLA in anomalies of the GSV anatomy. To review and discuss complications of surgery involving anomalous anatomy. Method: We report a case of high bifurcation of the common femoral artery wrapping around the saphenofemoral junction. Results: Successful ablation was achieved with no adverse consequences. Conclusion: EVLA is a safe treatment for SFJ/GSV incompetence in the presence of vascular anomalies that have historically resulted in serious vascular complications from surgery.

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Changes in Blood Flow in the Common Femoral Artery Related to Inactivity and Muscle Atrophy in Individuals with Long-Standing Paraplegia

Advances in Experimental Medicine and Biology - Oxygen Transport to Tissue XVII ◽

10.1007/978-1-4613-0333-6_50 ◽

1996 ◽

pp. 379-383 ◽

Cited By ~ 54

Author(s):

Maria T. E. Hopman ◽

W. N. J. C. van Asten ◽

B. Oeseburg

Keyword(s):

Blood Flow ◽

Muscle Atrophy ◽

Femoral Artery ◽

Common Femoral Artery ◽

The Common

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First-in-human experience with the sirolimus-coated balloon in ischemic peripheral arterial disease and occlusion of the common femoral artery

Vascular ◽

10.1177/1708538120939732 ◽

2020 ◽

pp. 170853812093973

Author(s):

Konstantinos P Donas ◽

Nizar Abu Bakr ◽

Miroslav Paripovic

Keyword(s):

Peripheral Arterial Disease ◽

Femoral Artery ◽

Common Femoral Artery ◽

Arterial Disease ◽

Human Experience ◽

The Common ◽

Peripheral Arterial

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Retrograde deep femoral artery puncture for the treatment of an iatrogenic dissection flap of the common femoral artery bifurcation

Journal of Vascular Surgery Cases and Innovative Techniques ◽

10.1016/j.jvscit.2020.09.007 ◽

2020 ◽

Vol 6 (4) ◽

pp. 648-652

Author(s):

Winsor Chen ◽

Nicos Labropoulos ◽

John Pacanowski ◽

Luis R. Leon

Keyword(s):

Femoral Artery ◽

Common Femoral Artery ◽

Deep Femoral Artery ◽

The Common

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The Mid-Thigh Loop Arteriovenous Graft: Patient Selection, Technique, and Results

The American Surgeon ◽

10.1177/000313480607200912 ◽

2006 ◽

Vol 72 (9) ◽

pp. 825-828 ◽

Cited By ~ 9

Author(s):

John D. Scott ◽

David L. Cull ◽

Corey A. Kalbaugh ◽

Christopher G. Carsten ◽

Dawn Blackhurst ◽

...

Keyword(s):

Patient Selection ◽

Femoral Artery ◽

Common Femoral Artery ◽

Infectious Complications ◽

Secondary Patency ◽

Graft Placement ◽

Femoral Vessels ◽

Common Operation ◽

The Common ◽

Av Graft

As patient longevity on hemodialysis has increased, surgeons are increasingly challenged to provide vascular access to patients who have exhausted options for access in the upper extremity. A common operation performed on these patients has been the loop thigh arteriovenous (AV) graft based off the common femoral vessels. However, there are several disadvantages of placing prosthetic grafts in proximity to the groin. Our group has modified the thigh loop AV graft procedure by moving the anastomoses to the mid-superficial femoral artery and vein. The advantage of this location is that it preserves the proximal femoral vessels for graft revision and avoids the node-bearing tissue and overhanging panniculus of the groin. The purpose of this study was to review our technique, patient selection, and experience with the mid-thigh loop AV graft procedure. Between 2001 and 2003, 46 mid-thigh loop AV grafts were placed in 38 patients. Patient hospital, office, and dialysis clinic records were reviewed. The primary and secondary patency for AV grafts in this study by life-table was 40 per cent and 68 per cent at 1 year and 18 per cent and 43 per cent at 2 years. There were 10 infections (21%) requiring graft removal. Four patients underwent subsequent placement of a proximal loop thigh AV graft after mid-thigh graft failure. Patient survival was 86 per cent at 1 year and 82 per cent at 2 years. There were no patient deaths related to thigh graft placement. Our results with the mid-thigh loop AV graft compare favorably with published results for thigh loop AV grafts. The procedure preserves the proximal vasculature, permitting graft revision or subsequent proximal graft placement, and may be associated with fewer infectious complications. The mid-thigh loop AV graft procedure should be considered before placement of a thigh loop AV graft based off the common femoral artery and vein.

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Femoral Balloon-Oriented Puncture for True Lumen Reentry in the Common Femoral Artery After Subintimal Retrograde Recanalization of Superficial Femoral Artery Ostial Occlusion: The FORLEE Technique

Journal of Endovascular Therapy ◽

10.1177/1526602819849722 ◽

2019 ◽

Vol 26 (4) ◽

pp. 490-495 ◽

Cited By ~ 1

Author(s):

Gabriele Testi ◽

Tanja Ceccacci ◽

Mauro Cevolani ◽

Francesco Giacchi ◽

Fabio Tarantino ◽

...

Keyword(s):

Femoral Artery ◽

Superficial Femoral Artery ◽

Balloon Catheter ◽

Duplex Ultrasound ◽

Cost Effective ◽

Limb Ischemia ◽

Common Femoral Artery ◽

Anterior Tibial Artery ◽

True Lumen ◽

The Common

Purpose: To report a new technique to reenter the common femoral artery (CFA) true lumen after retrograde recanalization of a superficial femoral artery (SFA) with flush ostial occlusion. Technique: The technique is demonstrated in a 76-year-old woman with critical limb ischemia previously submitted to several surgical revascularizations. A duplex ultrasound showed flush ostial occlusion of the SFA and patency of the anterior tibial artery at the ankle as the sole outflow vessel. After unsuccessful antegrade attempts to recanalize the SFA, a retrograde guidewire was advanced subintimally up to the CFA, without gaining reentry. A balloon catheter was inflated in the subintimal plane across the SFA ostial occlusion. Antegrade access to the distal CFA was achieved with a 20-G needle, which was used to puncture the balloon. A guidewire was advanced into the balloon and pushed forward while the collapsed balloon was pulled back to the mid SFA. The antegrade guidewire was externalized through a retrograde catheter, which was pushed in the CFA true lumen. A retrograde guidewire was advanced and externalized through the femoral sheath, establishing a flossing wire. The procedure was completed in antegrade fashion. Conclusion: The FORLEE technique is a cost-effective option to gain the CFA true lumen after subintimal retrograde recanalization of an ostial SFA occlusion.

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