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[Changes in deep femoral artery topography during open revascularization of the lower limbs]

R E Kalinin1, I A Suchkov1, E A Klimentova1

  • 1Pavlov Ryazan State Medical University, Ryazan, Russia.

Khirurgiia
|January 26, 2022
PubMed

Insights

Open reconstructive surgery for femoropopliteal occlusion significantly alters the deep femoral artery angle, increasing it up to 80°. Autologous vein bypass grafting results in minimal topographic changes, preserving normal arterial anatomy.

Area of Science:

  • Vascular Surgery
  • Anatomy
  • Medical Imaging

Background:

  • Atherosclerotic femoropopliteal occlusion causes chronic lower limb ischemia.
  • Open reconstructive surgery is a common treatment for this condition.
  • Understanding topographic changes in femoral arteries post-surgery is crucial for patient outcomes.

Purpose of the Study:

  • To investigate the topographic alterations of femoral triangle arteries following open revascularization procedures.
  • To compare the impact of different surgical techniques on femoral artery anatomy.

Main Methods:

  • Retrospective analysis of 30 male patients with femoropopliteal occlusion undergoing open surgery.
  • Ultrasound imaging was used to measure the angle of the deep femoral artery.
  • Comparison with a control group of 30 healthy individuals.

Main Results:

  • In healthy individuals, the deep femoral artery angle is typically ≤30°.
  • Open reconstructive surgery increased the deep femoral artery angle to 35-80°.
  • Autologous vein bypass grafting resulted in smaller angle increases (35-45°) compared to synthetic grafts (40-50°) or replacement (70-80°).

Conclusions:

  • The normal deep femoral artery angle should not exceed 30°.
  • Open surgical interventions on femoropopliteal arteries lead to significant changes in this angle.
  • Femoropopliteal bypass grafting with autologous vein causes the least topographic disruption.
Abstract

Keywords:
angle of origindeep femoral arteryopen arterial reconstruction

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