Surgical anatomy of the initial segment of the lateral circumflex femoral artery

Lalović, Nenad; Cvijanovic, Radovan; Mališ, Miloš; Ilić, Marko; Ćuk, Mirjana; Nikolić, Iva

doi:10.2298/mpns1308326l

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…The major branches of the DFA are the lateral circumflex femoral artery (LCFA) from its lateral aspect and the medial circumflex femoral artery (MCFA) from its medial wall [6]. The varying vascular anatomy of these vessels is of the utmost importance due to their involvement in vascular, orthopedic, and plastic and reconstructive surgery [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…Knowledge of the exact origin of the LCFA is important for surgeons when applying anesthesia to the femoral nerve (FN), in orthopedic surgeries during femoral and hip procedures, when harvesting an anterolateral thigh (ALT) flap in reconstructive surgery, in aortopopliteal bypass, in extra/intracranial bypass surgeries, but also coronary artery bypass grafting [7][8][9][11][12][13]. Knowledge of the MCFA origin and course variations is pivotal when performing both trochanteric and intertrochanteric osteotomies, in a total arthroplasty to avoid iatrogenic avascular necrosis of the head of the femur, and during flap plastic surgery, as well as in interventional radiology during puncture of the femoral artery [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Anatomic Variations of the Deep Femoral Artery and Its Branches: Clinical Implications on Anterolateral Thigh Harvesting

Tzouma

Kopanakis

Tsakotos

et al. 2020

Cureus

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The deep femoral artery (DFA) is the largest branch of the common femoral artery (CFA), supplying with its branches, the medial circumflex femoral artery (MCFA) and lateral circumflex femoral artery (LCFA), the thigh muscles, the hip joint, and the femur. Their anatomical variations have a great impact on both interventional and surgical procedures. The anterolateral thigh (ALT) flap, a versatile soft tissue with highly increasing use in reconstructive surgery, is noticeably influenced by this variability. A total of 25 articles were incorporated into the review. Studies conducted after the year 2009 were included. After the assessment of all studies included, we concluded that the DFΑ arises from the CFA with a varying site of origin, the posterolateral being the prevalent one found in 51.32% of cases. Of all cases studied, the MCFA and the LCFA most often originated from the DFA in 63.125% and 74.92%, respectively, but the CFA constitutes another frequent source of origin in 27% and 12.12% of cases, respectively. The descending branch of the lateral circumflex femoral artery (dLCFA) is the prominent pedicle in the ALT flap, originating from the LCFA in 83.55% of cases. However, the presence of an oblique lateral circumflex femoral artery (oLCFA) branch with changeable origination was observed. Knowledge of the anatomical variants in the deep femoral artery is imperative both for interventional radiologists and surgeons. Especially in reconstructive surgery, the possibility for different sources supplying the skin and the pedicle compel surgeons to acquire an awareness of this subject.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Anatomic Variations of the Deep Femoral Artery and Its Branches: Clinical Implications on Anterolateral Thigh Harvesting

Tzouma

Kopanakis

Tsakotos

et al. 2020

Cureus

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Clinical significance of understanding lateral and medial circumflex femoral artery origin variability

et al. 2018

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The common femoral artery (CFA) divides into the superficial femoral artery (SFA) and deep femoral artery (DFA). The lateral circumflex femoral artery (LCFA) and medial circumflex femoral artery (MCFA) are most often branches of the DFA, although a large number of different variations in their origin has been described. We performed microdissection on both lower limbs of 30 fetuses, gestational age from 7 to 10 lunar months. Our results show that the LCFA and MCFA usually arise from the DFA. In 78.3% of cases, the MCFA originated from the DFA. In 11.7% of cases, the MCFA originated from the CFA, and in 5% of cases from the SFA. One case showed a common trunk with the DFA. Also, the MCFA was missing in one case, and it had a common trunk with the LCFA in one case. In 83.3% of cases, the LCFA arose from the DFA and in 6.7% of cases from the CFA. In one case, it had a common trunk with the DFA, and in one case with the MCFA. In 3.3% of cases, the LCFA was missing. In 66.7% of cases, both arteries originated from the DFA, in 15% of cases one originated from the DFA and the other from the CFA or SFA. Our results are in accordance with some published studies but also differ from the outcomes of other studies. Comprehensive knowledge of different variation types is imperative in order to prevent complications during surgical and orthopedic interventions.

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Deep femoral artery: A new point of view based on cadaveric study

Claassen

Schmitt

Schulze

et al. 2021

Annals of Anatomy - Anatomischer Anzeiger

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Surgical anatomy of the initial segment of the lateral circumflex femoral artery

Abstract: In clinical practice, it is of great importance to know the origin variations of the lateral circumflex femoral artery while planning and performing various surgical and invasive diagnostic procedures in the inguino-femoral region.

Cited by 4 publications

References 5 publications

Anatomic Variations of the Deep Femoral Artery and Its Branches: Clinical Implications on Anterolateral Thigh Harvesting

Anatomic Variations of the Deep Femoral Artery and Its Branches: Clinical Implications on Anterolateral Thigh Harvesting

Clinical significance of understanding lateral and medial circumflex femoral artery origin variability

Deep femoral artery: A new point of view based on cadaveric study

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