What is it about?
Study of Anatomical Variations of Profunda Femoris Artery in the Indian Population
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Why is it important?
Introduction: The femoral artery is commonly used for angiographic procedures. The Profunda femoris artery (PFA) is the largest branch of femoral artery. The knowledge of anatomical variation of PFA is clinically significant in view of most angiographic diagnostic procedures being performed in this region. A high origin of PFA is closely related with femoral nerve and its branches posing immense challenge to re-vascular surgeon in this region. Objective: To study the variation of PFA with respect to its origin, distance of origin from mid inguinal point and the direction of origin. Methods: A total of 30 femoral triangles were dissected in 15 human cadavers. The PFA was identified and its source, site and direction was noted. Results: The PFA originated from the postero lateral aspect of the femoral artery in 53.33%, lateral aspect in 33.33%, posterior aspect in 10% and from the anterolateral aspect in 3.33% of the cases. The PFA was found to originate from external iliac artery in 10% cases (3 out of 30) out of which the variation was seen bilaterally in one cadaver. The mean distance of origin of PFA from the mid inguinal point is 23 mm. Conclusion: Knowledge in the anatomical variations of the PFA helps the clinician to avoid iatrogenic injury while performing various procedures like angiography, venous excess for femoral vein, femoral nerve block. Pseudo aneurysms can occur when the puncture site is the PFA or Femoral artery distal to the origin of the PFA.
Perspectives
Introduction: The femoral artery is commonly used for angiographic procedures. The Profunda femoris artery (PFA) is the largest branch of femoral artery. The knowledge of anatomical variation of PFA is clinically significant in view of most angiographic diagnostic procedures being performed in this region. A high origin of PFA is closely related with femoral nerve and its branches posing immense challenge to re-vascular surgeon in this region. Objective: To study the variation of PFA with respect to its origin, distance of origin from mid inguinal point and the direction of origin. Methods: A total of 30 femoral triangles were dissected in 15 human cadavers. The PFA was identified and its source, site and direction was noted. Results: The PFA originated from the postero lateral aspect of the femoral artery in 53.33%, lateral aspect in 33.33%, posterior aspect in 10% and from the anterolateral aspect in 3.33% of the cases. The PFA was found to originate from external iliac artery in 10% cases (3 out of 30) out of which the variation was seen bilaterally in one cadaver. The mean distance of origin of PFA from the mid inguinal point is 23 mm. Conclusion: Knowledge in the anatomical variations of the PFA helps the clinician to avoid iatrogenic injury while performing various procedures like angiography, venous excess for femoral vein, femoral nerve block. Pseudo aneurysms can occur when the puncture site is the PFA or Femoral artery distal to the origin of the PFA.
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This page is a summary of: Study of Anatomical Variations of Profunda Femoris Artery in the Indian Population, Indian Journal of Anatomy, January 2019, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ija.2320.0022.8119.1.
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