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Common Femoral Artery Curvature During Hip Flexion

Philippe Tresson1, Alexandre Hublet2, Alexandre Holdner3,4

  • 1Department of Vascular and Endovascular Surgery, Hôpital Louis Pradel, Hospices Civils de Lyon, 69677, Bron Cedex, France. philippe.tresson@chu-lyon.fr.

Cardiovascular and Interventional Radiology
|June 13, 2023
PubMed

Insights

Hip flexion commonly causes harmonious or moderate plication in the common femoral artery (CFA) of patients without atherosclerosis. This study analyzed conformational changes during hip movement.

Area of Science:

  • Vascular anatomy and biomechanics
  • Medical imaging analysis
  • Orthopedic surgery

Background:

  • The common femoral artery (CFA) is crucial for lower limb blood supply.
  • Understanding CFA behavior during hip movement is important for diagnosing vascular conditions.
  • Previous studies have not fully characterized CFA conformational changes during hip flexion in healthy individuals.

Purpose of the Study:

  • To evaluate the anatomical and conformational alterations of the common femoral artery (CFA) during hip joint flexion.
  • To assess these changes in patients without signs of atherosclerosis.

Main Methods:

  • Retrospective analysis of digital subtraction angiography in 40 patients.
  • Two independent readers assessed CFA angulation and identified the arterial folding point.
  • CFA curvature was classified as harmonious, moderate plication, or severe plication.

Main Results:

  • High inter-observer reliability was confirmed for all measurements.
  • CFA curvature was harmonious in 12 patients, moderate plication in 14, and severe plication in 14.
  • The arterial folding point was most frequently located in the proximal segments (1 and 2) of the CFA.

Conclusions:

  • Hip flexion typically results in harmonious curvature or moderate plication of the CFA in individuals without atherosclerosis.
  • These findings provide a baseline for understanding normal CFA biomechanics during hip movement.
Abstract

Keywords:
Common femoral arteryEndofibrosisEndovascularStenting

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