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 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

scholarly journals Anatomical variants of profunda femoris artery : among cadavers from South India

2014 ◽  
Vol 03 (01) ◽  
pp. 08-11
Author(s):  
Vinay KV ◽  
Raghavendra AY ◽  
◽  
Keyword(s):  
Femoral Artery ◽  
South India ◽  
Branching Pattern ◽  
Profunda Femoris Artery ◽  
South Indian ◽  
Medical Academy ◽  
Indian Origin ◽  
Iatrogenic Damage ◽  
The Right ◽  
Profunda Femoris

Abstract Background: The profunda femoris artery (PFA) is a branch of femoral artery which plays an important role in the arterial supply of the thigh. An extensive knowledge of the branching pattern and relations are necessary for clinicians to prevent any iatrogenic damage to these blood vessels and the surrounding structures in vascular reconstructive surgeries. Objective: To study the direction of origin of PFA from femoral artery and measure DIP- the distance between the origin of PFA from femoral artery to midpoint of inguinal ligament. Materials and Methods: Forty six femoral triangles (23 on right & 23 on left side) were dissected and studied in embalmed cadavers available in dissection hall of K. S. Hegde Medical Academy, Mangalore, India over a period of two years from July 2011 to July 2013. These cadavers were of South Indian origin. The direction of origin of PFA from femoral artery was noted. The DIP was measured using Vernier caliper. Results: The direction of origin of the PFA in majority of the cases was found to be from the posterolateral side (65.22%) of femoral artery. The DIP varies from 25 to 50 mm on the right and 24 to 60 mm on the left side. In 50 % of the cases, the DIP was in the range of 41 to 50 mm on both the sides. Conclusion: The anatomical data obtained here is of importance for surgeons and radiologists for procedures centred on the PFA and in vascular reconstructive surgeries involving the groin.

ANATOMICAL VARIATIONS OF THE ORIGIN OF PROFUNDA FEMORIS ARTERY – A CADAVERIC STUDY

2021 ◽  
pp. 4-6
Author(s):  
Indupuru Gowri ◽  
T. Sumalatha ◽  
Niveditha Samala
Keyword(s):  
Femoral Artery ◽  
Anatomical Variations ◽  
Lower Limbs ◽  
Inguinal Ligament ◽  
Lateral Side ◽  
Profunda Femoris Artery ◽  
Medical College ◽  
Medial Side ◽  
Femoral Triangle ◽  
Profunda Femoris

INTRODUCTION: The Profunda Femoris Artery (PFA) is a large branch arises from the lateral or posterolateral part of the Femoral Artery (FA), about 3 to 5cm below the inguinal ligament. The PFA is in close proximity to femoral vessels in the femoral triangle the precise anatomical knowledge of PFA and its branches is of great signicance in preventing profuse haemorrhage, pseudo aneurysms and traumatic AV stulae while doing any procedures or surgeries in that area. AIM & OBJECTIVES: To study the anatomical variations in source of origin, site of origin and distance of origin from midpoint of inguinal ligament of PFA. MATERIALS AND METHODS: The present observational study was conducted on the dissection of 70 lower limbs of 35 adult cadavers (27 male & 8 female) in the Department of Anatomy S.V.S Medical College, Mahabubnagar over a period of 2 years. Contents of the femoral triangle were dissected as per Cunningham's manual. The source of origin, site, distance of origin from mid points of inguinal ligament and course of PFA were noted. Collected data was analysed statistically. RESULTS: In the present study the PFA was arising from the femoral artery in all these 70 Lower Limbs. The commonest site of origin of PFA was postero lateral side of femoral artery in 17 (48.6%) Limbs on right side, 16(45.8%) limbs on left side, followed by lateral side of FA in14(40%) limbs on right side, 12(34.3%) limbs on left side ,followed by posterior in 4(11.4%) limbs on each side. The PFA was originating from medial side of FA only in 3 (4.29%) left limbs The PFA was taking origin below the inguinal ligament most commonly at the distance of 3-4cm in 10(29) limbs on right side, 15(43%) limbs on left side and at 4-5cm in 8(23%) limbs on right side, 5(14%) limbs on left side, at 2-3cm in 8 (23%) limbs on right side, 6(17%) limbs on left side, at 5-7cm in 3(8.5%) limbs on right in 1 (3%) limbs on left side. The PFA was taking origin higher level with in 2cm below the midpoint of inguinal ligament in 6 (17%) limbs on right side, 8(23%) limbs on left side. CONCLUSIONS: The knowledge of site and level of origin of Profundafemoris artery helps in avoiding the formation of iatrogenic femoral arteriovenous stula (0.1-1.5%) while performing femoral artery puncture during femoral puncture, cardiac catheterisation and radiological procedures

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.

A Synchronous Ipsilateral True Superficial Femoral Artery and Profunda Femoris Artery Aneurysm With Rupture: A Case Report and Review of the Literature

2020 ◽  
Vol 54 (7) ◽  
pp. 650-655
Author(s):  
Ali Ahmet Arıkan ◽  
Fatih Avni Bayraktar ◽  
Emre Selçuk
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Treatment Options ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Review Of The Literature ◽  
Profunda Femoris Artery ◽  
Elderly Males ◽  
History Of ◽  
Profunda Femoris

Atherosclerotic true aneurysms of the superficial femoral artery (SFA) and profunda femoris artery (PFA) are rare and difficult to detect. The synchronous presence of SFA and PFA aneurysms is even rarer. Herein, we present a case with ipsilateral true SFA and PFA aneurysms diagnosed with rupture. A review of the international literature is made, and the diagnosis and treatment options of this rare condition are discussed. A 75-year-old male was admitted to our hospital with an aneurysm on the distal SFA and the ipsilateral PFA, as well as a hematoma around the PFA. It was difficult to determine the source of the rupture before surgery, even with proper imaging. Successful ligation of the PFA and an aneurysmectomy followed by a bypass grafting for the SFA were performed. An intraoperative examination revealed that the SFA aneurysm had ruptured. In elderly males with a history of ectasia or aneurysm on the aorta or peripheral arteries, a synchronous aneurysm on the SFA or the PFA should be suspected.

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 Outcomes of segmental femoral artery pseudoaneurysm in patients with Behçet’s disease: a single center’s experience

2019 ◽  
Vol 18 ◽  
Author(s):  
Hussein Mahmoud Khairy ◽  
Ahmed Alaa Shaker
Keyword(s):  
Behçet’S Disease ◽  
Femoral Artery ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Frozen Section ◽  
Muscle Flap ◽  
Artery Pseudoaneurysm ◽  
Behcet's Disease ◽  
Profunda Femoris Artery ◽  
Profunda Femoris

Abstract Background Behçet's disease (BD) is an autoimmune condition that involves multiple systems. The most common arterial manifestation in BD patients is pseudoaneurysm, which has higher frequency than aneurysm formation. Objectives To clarify the importance of profunda femoris artery in BD pseudoaneurysm, and present a new method for identifying healthy segments for anastomosis. Methods Fifteen patients presented at a vascular department with pseudoaneurysms of the common femoral (CFA) and superficial femoral artery (SFA), were diagnosed with BD and underwent surgical intervention at Kasr al Ainy hospitals over 2 years. Results All patients were male. The patients ranged in age from 30 to 40 years (mean, 33.8±2.6 years). Mean duration of the disease was 5±3.4 years. Eight (53.3%) CFA graft interpositions, six (40%) mid SFA graft interpositions, and one (6.66) distal SFA graft interposition were performed. Eight (53.3%) of these operations were performed using Dacron graft and sartorius flap, three (20%) were performed with a polytetrafluoroethylene graft, and four (26.66) with a great saphenous vein graft. Two cases (13.33%) were accidentally discovered while four cases (26.66%) had short distance claudication, four cases (26.66%) had pain at rest, and five cases (33.33%) presented with pulsatile swelling correlated with pseudoaneurysm size (p = 0.005). Patients were followed-up over 1 year for new aneurysms and recurrence. Conclusions Surgical repair with muscle flap coverage, with or without ligation of profunda femoris artery, does not affect prognosis. An alternative method for identifying healthy segments of femoral artery may be frozen section and examination of the artery to decrease the risk of recurrence at the site of anastomosis.

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