scholarly journals Variations in the Circumflex Branches of the Profunda Femoris Artery - A Cadaveric Study

2021 ◽  
Vol 10 (14) ◽  
pp. 1020-1024
Author(s):  
Anne George ◽  
Maheswary Thampi Santhakumary
Keyword(s):  
Femoral Artery ◽  
External Iliac Artery ◽  
Pubic Symphysis ◽  
Cadaveric Study ◽  
Anterior Superior Iliac Spine ◽  
Profunda Femoris Artery ◽  
Circumflex Femoral Artery ◽  
Medial Circumflex Femoral Artery ◽  
Lateral Circumflex Femoral ◽  
Profunda Femoris

BACKGROUND The external iliac artery passes behind the inguinal ligament into the front of the thigh as the femoral artery (FA). The FA gives off many branches both superficial and deep. The profunda femoris artery (PFA) is one of the deep branches given off in the femoral triangle in front of the thigh. The PFA gives off the medial circumflex femoral artery (MCFA) and the lateral circumflex femoral arteries (LCFA) and continues downwards giving off the first, second and third perforating arteries. The PFA terminates as the fourth perforating artery. Many variations in the circumflex branches of the PFA have been found by various authors. These variations are of great significance during procedures done in front part of the thigh. METHODS This is a descriptive cadaveric study. We dissected the thighs of 57 embalmed bodies. We looked for the medial (MCFA) and lateral (LCFA) circumflex arteries which are branches of PFA. Each artery was followed till its termination. The distance of their origin from the point of the origin of PFA from the FA was measured and noted. The distance between pubic symphysis and anterior superior iliac spine was measured using black silk and measuring scale. The midpoint was marked using skin marking pen and an incision extending from anterior superior iliac spine to pubic symphysis was made. Another incision was made from the above midpoint to the midpoint of a horizontal incision at the level of knee joint. Femoral sheath was identified and incised. Femoral artery, profunda femoris artery and its circumflex branches were identified. The modes of origin of MCFA and LCFA were noted. The distance of origin of these from the origin of PFA were measured. Variations in the branching pattern of MCFA and LCFA were looked for and noted down. RESULTS We found that in 83 % of the total cases MCFA took origin from PFA and its origin was from the FA in 13 %. In 84 % of total cases LCFA arose from PFA on the right side and 70 % on the left side. A common stump of origin was noted in 3 cases. CONCLUSIONS Medial and lateral circumflex branches of PFA exhibit wide variations. KEY WORDS Medial Circumflex Femoral Artery, Lateral Circumflex Femoral Artery, Variations in Origin and Branching

A cadaveric study on the variations of the profunda femoris artery in South India

2021 ◽  
Vol 12 (2) ◽  
pp. 86-90
Author(s):  
Anne George ◽  
Maheswary Thampi Santhakumary
Keyword(s):  
Femoral Artery ◽  
South India ◽  
Pubic Symphysis ◽  
Anterior Superior Iliac Spine ◽  
Silk Thread ◽  
Profunda Femoris Artery ◽  
Clinical Procedures ◽  
Branching Patterns ◽  
Femoral Triangle ◽  
Profunda Femoris

Background: The knowledge of the variations in the branching patterns of the arteries in the femoral triangle is important to avoid iatrogenic injury to the vessels during clinical procedures. Aims and Objectives: The study was designed to explore the varying positions of the origin of the profunda femoris artery from the femoral artery. Materials and Methods: We have dissected the thighs of 60 embalmed bodies. The midpoint between the anterior superior iliac spine and the pubic symphysis was marked (midinguinal point). The distance of the point of origin of profunda femoris artery (PFA) from the femoral artery (FA) to the midinguinal point (MIP) was measured by black silk thread and scale. The relation of PFA to FA at its origin was noted. Results: In the majority of the cases, the PFA was found to arise posterolaterally from the FA. In 63.3% of the cases, PFA was found to arise posterolaterally from the FA, while in 21.5% of cases it took origin laterally from it. In majority of the cases, the PFA arose at a distance of 3-6 cms from midinguinal point while a considerable number originated more distally. Conclusion: PFA exhibits significant variations. Posterolateral origin from FA was the most common mode of origin.

scholarly journals Absence of the genicular arterial anastomosis as generally depicted in textbooks

2013 ◽  
Vol 95 (6) ◽  
pp. 405-409 ◽  
Author(s):  
M Sabalbal ◽  
M Johnson ◽  
V McAlister
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Popliteal Artery ◽  
Collateral Circulation ◽  
Lower Limbs ◽  
Direct Communication ◽  
Profunda Femoris Artery ◽  
Arterial Anastomosis ◽  
Lateral Circumflex Femoral ◽  
Profunda Femoris

Introduction Textbook representations of the genicular arterial anastomosis show a large direct communication between the descending branch of the lateral circumflex femoral artery (DBLCFA) and a genicular branch of the popliteal artery but this is not compatible with clinical experience. The aim of this study was to determine whether the arterial anastomosis at the knee is sufficient, in the event of traumatic disruption of the superficial femoral artery, to infuse protective agents or to place a stent to restore flow to the lower leg. Methods Dissection of ten cadaveric lower limbs was performed to photograph the arterial anatomy from the inguinal ligament to the tibial tubercle. Anastomosis with branches of the popliteal artery was classified as: ‘direct communication’, ‘approaching communication’ or ‘no evident communication’. Results A constant descending artery in the lateral thigh (LDAT) was found to have five types of origin: Type 1 (2/10 limbs) involved the lateral circumflex femoral branch of the femoral artery, Type 2 (3/10 limbs) the lateral circumflex femoral branch of the profunda femoris artery, Type 3 (1/10 limbs) the femoral artery, Type 4 (3/10 limbs) the superficial femoral artery and Type 5 (2/10 limbs) the profunda femoris artery. In one limb, there were two descending arteries (Types 4 and 5). Collateral circulation at the knee was also variable: direct communicating vessels (3/10 limbs); approaching vessels with possible communication via capillaries (5/10 limbs); no evident communication (2/10 limbs). Communicating vessels, if present, are too small to provide immediate collateral circulation. Conclusions Modern representations of the genicular arterial anastomosis are inaccurate, derived commonly from an idealised image that first appeared Gray’s Anatomy in 1910. The afferent vessel is not the DBLCFA. The majority of subjects have the potential to recruit collateral circulation via the LDAT following gradual obstruction to normal arterial flow, which may be important if the LDAT is removed for bypass or flap surgery. A direct communication is rarely present and is never as robust as generally depicted in textbooks.

scholarly journals Prostatic Artery Embolization through the Profunda Femoris Artery

2021 ◽  
Author(s):  
Abin Sajan ◽  
Ari Isaacson ◽  
Sandeep Bagla
Keyword(s):  
Iliac Artery ◽  
External Iliac Artery ◽  
Artery Embolization ◽  
Prostatic Artery Embolization ◽  
Profunda Femoris Artery ◽  
Circumflex Femoral Artery ◽  
Anterior Division ◽  
The Right ◽  
Profunda Femoris ◽  
Prostatic Artery

AbstractAn 88-year-old catheter-dependent patient with peripheral vascular disease and benign prostatic hyperplasia was referred for prostatic artery embolization (PAE). Selective angiography of the left internal iliac artery (IIA) revealed a 2.5-cm aneurysm and a single artery comprising the anterior division of the IIA (inferior gluteal artery). No prostatic artery (PA) was identified on the left. Additional angiography of the left external iliac artery (EIA), right IIA, and right EIA did not demonstrate prostatic perfusion. The right profunda femoris artery was then selected given previously reported atherosclerotic collaterals, which revealed an ascending branch of the medial circumflex femoral artery coursing through the upper thigh into the pelvis and reconstituting the right anterior division of the IIA. A 2.4-French microcatheter (Terumo) and 0.018-inch wire (Transcend, Boston Scientific) were used to enter the pelvic vasculature, right PA was identified, and a 2-mm coil was used to perform embolization of a potential nontarget anterior division branch. Embolization of the right PA was then performed with 250-µm particulate and Gelfoam slurry. Two-week follow-up revealed spontaneous voiding and catheter independence.

scholarly journals Anatomical Variations of ProfundaFemoris Artery in Indian Population

2022 ◽  
Vol 8 (1) ◽  
pp. 180-184
Author(s):  
SadiqaliAbbasali Syed
Keyword(s):  
Femoral Artery ◽  
Anatomical Variations ◽  
Common Trunk ◽  
Lateral Circumflex Femoral Artery ◽  
Circumflex Femoral Artery ◽  
Medial Circumflex Femoral Artery ◽  
Significant Difference ◽  
Human Cadavers ◽  
Lateral Circumflex Femoral ◽  
Age Range

Background: Aim: To assess anatomical variations of profundafemoris artery in Indian population.Methods:45 embalmed lower extremities adult human cadavers age range of 30–65 years were recruited for the study. The femoral triangles were dissected with proper care to identify the profundafemoris and circumflex femoral arteries. Their source of origin, position, and distance were noted with the mid-inguinal point (MIP) as a reference point.Results:Side of profundafemoris artery (PFA) was postero- lateral in 60%, posterior in 30%, lateral in 5% and absent in 5%. Medial circumflex femoral artery (MCFA) had 65%, 15%, 12% and 8% and lateral circumflex femoral artery (LCFA) had 80%, 15%, 5% and 0% respectively. Origin of profundafemoris artery (PFA) was FA in 90% and common trunk with medial circumflex femoral artery in 10%. Origin of Medial circumflex femoral artery (MCFA) was FA in 55%, PFA in 40% and FA with common trunk with MCFA in 5%. Origin of lateral circumflex femoral artery (LCFA) was femoral artery in 70%, PFA in 20% and FA with common trunk with PFA in 10%. A significant difference was observed (P< 0.05).Conclusions:A thorough knowledge of variation of profunda femoral artery is of great importance and to avoid complications.

A CADAVERIC STUDY OF VARIATIONS IN THE ORIGIN OF LATERAL CIRCUMFLEX FEMORAL ARTERY

2015 ◽  
Vol 3 (4) ◽  
pp. 1732-1736 ◽  
Author(s):  
Apurva Pradipkumar Darji ◽  
◽  
Hitesh Chauhan ◽  
Paras Shrimankar ◽  
Hardik Khatri ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Cadaveric Study ◽  
Lateral Circumflex Femoral Artery ◽  
Circumflex Femoral Artery ◽  
Lateral Circumflex Femoral

CADAVERIC STUDY OF VARIATIONS IN BRANCHING PATTERN OF FEMORAL ARTERY AND PROFUNDA FEMORIS ARTERY

2016 ◽  
Vol 4 (4.1) ◽  
pp. 3001-3004
Author(s):  
Sween Walia ◽  
◽  
Bhawani Shankar Modi ◽  
Shikha Sharma ◽  
G.S. Bindra ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Cadaveric Study ◽  
Branching Pattern ◽  
Profunda Femoris Artery ◽  
Profunda Femoris

High origin of Profunda Femoris Artery - A Case Report

2017 ◽  
Vol 2 (05) ◽  
Author(s):  
Ashwinikumar Waghmare ◽  
Malashri .
Keyword(s):  
Femoral Artery ◽  
Lower Limb ◽  
Rectus Femoris ◽  
Inguinal Ligament ◽  
Vastus Medialis ◽  
Medial Aspect ◽  
Lateral Aspect ◽  
Profunda Femoris Artery ◽  
Male Cadaver ◽  
Profunda Femoris

Profunda Femoris Artery (PFA) arises from lateral aspect of femoral artery 3.5 cm distal to inguinal ligament. It gives lateral and medial circumflex femoral arteries from lateral and medial aspect respectively. Following variation was reported in right lower limb of a 60 year male cadaver, during routine dissection for medical students. Profunda Femoris Artery (PFA) arose from lateral aspect of femoral artery 1 cm distal to inguinal ligament, running laterally and down words parallel to femoral artery the profunda femoris passed beneath rectus femoris, sartorius and vastus medialis successively, finally pierced adductor magnus as forth perforator artery, 6 cm above knee joint.

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