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.

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