Novosti
Khirurgii
This journal is
indexed in Scopus









Year 2019 Vol. 27 No 6

SCIENTIFIC PUBLICATIONS
GENERAL & SPECIAL SURGE

DOI: https://dx.doi.org/10.18484/2305-0047.2019.6.615   |  

V.I. RUSYN, V.V. KORSAK, V.V. RUSYN, F.V. HORLENCO, V.M. DOBOSH

ANGIOARHITECTONICS AND MORPHOMETRY OF THE DEEP FEMORAL ARTERY

Uzhhorod National University, Uzhhorod,
Ukraine

Objective. To study the surgical anatomy of the deep femoral artery.
Methods. The study of angioarchitectonics of the deep femoral artery was carried out on 20 cadavers. On one side of the lower extremity, the deep femoral artery was isolated over 17 cm, all branches of the deep artery were taken on handles, their number was fixed as well as the diameter at the level of the main trunk and distal to 17 cm, variants of the union of the medial and lateral enveloping branches, variants of the anatomical structure of the deep femoral artery and the location of the orifice relatively to the common femoral artery. After that, the superficial femoral artery at the level of the orifice was ligated and puncture-catheter angiography of the deep femoral artery was performed on a PXP-40HF mobile unit (52-58 kV, 1.8-3.2 mas) at a focal length of 1 m. For an angiographic study, 20 ml of a 76% triombrast solution was used.
Results. Based on the data revision, three main options for the structure of the deep femoral artery trunk were determined. The first variant occurred in 11 (55%) cases, where the presence of the only one trunk of the deep femoral artery from which the lateral and medial circumflex femoral arteries clearly departed. In the second variant, the lateral and medial circumflex femoral arteries and the deep femoral artery diverged separately from the common femoral artery. A feature of the anatomical structure of the deep femoral artery for the third variant was the lack of a clear distinction between the main trunk of the deep femoral artery and its branches.
Conclusions. The deep femoral artery has three main options of formation and separation from the common femoral artery. According to the divergence of the deep femoral artery from the common femoral artery, it was found out that in 50% of observations the influx of the deep femoral artery is located on the lateral semicircle, in 25% of observations on the posterior-lateral semicircle, in 15% on the posterior semicircle and in 10% on the posterior medial semicircle.

Keywords: chronic limb ischemia, deep femoral artery diameter, anatomy of the deep femoral artery; femoral artery/surgery; arterial occlusive diseases
p. 615-621 of the original issue
References
  1. Kovalchuk LIa, Goshchinskii VB, Goshchinskii PV. Rol vnutrshnoï klubovoï arterï, glibokoï arterï ta nizkhdnoï arterï kolna v revaskuliarizatsï nizhnkh kntsvok pri khronchni kritichni shemï. Shpitalna khrurgia. 2006;2:32-5. (In Ukr.)
  2. Taurino M, Persiani F, Ficarelli R, Filippi F, Dito R, Rizzo L. The Role of the Profundoplasty in the Modern Management of Patient with Peripheral Vascular Disease. Ann Vasc Surg. 2017 Nov;45:16-21. doi: 10.1016/j.avsg.2017.05.018
  3. Cameron JL, Cameron AM. Current Surgical Therapy. 11th ed. Philadelphia, PA: Elsevier; 2014. 878 p.
  4. Georgakarakos E, Tasopoulou KM, Koutsoumpelis A, Georgiadis GS. The importance of profunda femoris artery justifies further the endovascular approach in critical limb ischemia. Ann Vasc Surg. 2018 May;49:318-19. doi: 10.1016/j.avsg.2017.11.048
  5. Gavrilenko AV, Kotov AE, Lepshokov MK. The role of deep femoral artery plasty in chronic critical lower limb ischemia treatment. Annaly Khirurgii. 2017; 22 (6): 321-28. doi: 10.18821/1560-9502-2017- 22-6-321-328 (In Russ.)
  6. Kovanov VV, Travin AA. Khirurgicheskaia anatomiia nizhnikh konechnostei. Moscow, RF: Kniga po trebovaniiu; 2012. 525 p. https://docplayer.ru/38428496-Hirurgicheskaya-anatomiya-nizhnih-konechnostey.html (In Russ.)
  7. Gubka VA, Voloshyn AN, Gordienko OS, Suzdalenko AV. The choice of lower extremities femoral-deepfemoral arterial segment reconstruction method founded on intraoperation doppler ultrasound information Patologia. 2010;7(3):13-16. http://nbuv.gov.ua/UJRN/pathology_2010_7_3_4 (In Russ.)
Address for correspondence:
88000, Ukraine,
Uzhhorod, Kapushanskaya Str., 22,
Uzhhorod National University,
Department of Surgical Diseases.
Tel. +8 099 73-68-098,
e-mail: v.dobosh@gmail.com,
Viktoria M. Dobosh
Information about the authors:
Rusyn Vasyl I., MD, Professor of the Department of Surgical Diseases, Uzhhorod National University, Uzhhorod, Ukraine.
http://orcid.org/0000-0001-5688-9951
Korsak Vyacheslav V., MD, Professor of the Department of Surgical Diseases, Uzhhorod National University, Uzhhorod, Ukraine.
http://orcid.org/0000-0002-4866-1882
Rusyn Vasyl V., MD, Associate Professor of the Department of Surgical Diseases, Uzhhorod National University, Uzhhorod, Ukraine.
http://orcid.org/0000-0002-0794-6777
Horlenko Fedir V., PhD, Associate Professor of the Department of Surgical Diseases, Uzhhorod National University, Uzhhorod, Ukraine.
http://orcid.org/0000-0002-0496-2069
Dobosh Viktoria M., Post-Graduate Student of the Department of Surgical Diseases, Uzhhorod National University, Uzhhorod, Ukraine.
http://orcid.org/0000-0003-2485-8266
Contacts | ©Vitebsk State Medical University, 2007