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Published on: April 18, 2013
Anatomical variants of the lateral femoral circumflex artery: an angiographic study
Hozumi Fukuda1, Mitsutaka Ashida, Rei Ishii
1Department of Radiology, Mitsui Memorial Hospital, 1 Kanda Izumicho Chiyoda-ku, 101-8643 Tokyo, Japan. fkdhzm@jcom.home.ne.jp
Insights
The descending branch of the lateral femoral circumflex artery (LFCA) is a viable graft for coronary artery bypass grafting (CABG). Most patients have an LFCA pattern suitable for this surgical application.
Area of Science:
- Vascular Surgery
- Cardiac Surgery
- Anatomy
Background:
- The descending branch of the lateral femoral circumflex artery (LFCA) is increasingly utilized as an arterial graft in coronary artery bypass grafting (CABG).
- Understanding LFCA anatomical variations is crucial for its successful application in CABG procedures.
Purpose of the Study:
- To assess anatomical variants of the LFCA.
- To determine the prevalence of LFCA patterns suitable for coronary artery bypass grafting (CABG).
Main Methods:
- Femoral arteriograms from 131 adult patients undergoing CABG were analyzed.
- Anatomical variations of the LFCA were documented.
Main Results:
- The most common LFCA pattern, originating from the deep femoral artery, was observed in 78.6% of extremities.
- In 92.3% of CABG cases utilizing the LFCA's descending branch, this common pattern was selected for arterial grafting.
Conclusions:
- The descending branch of the LFCA is a frequently available and suitable arterial graft for CABG.
- Knowledge of LFCA anatomy aids in selecting appropriate grafts for coronary artery bypass procedures.
Abstract:
The descending branch of the lateral femoral circumflex artery (LFCA) has found recent use as a new arterial graft for coronary artery bypass grafting (CABG). Anatomical variants of the LFCA were assessed on femoral arteriograms obtained before CABG in 131 adult patients. The most common pattern, found in 78.6% of extremities, consisted of the LFCA arising from the deep femoral artery, and the arterial graft was selected from this pattern in 92.3% of patients in whom the descending branch of the LFCA was used for CABG.
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