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Czasopismo

2012 | 71 | 1 |

Tytuł artykułu

Variant origin of the lateral circumflex femoral artery in a black Kenyan population

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Variant origin of lateral circumflex femoral artery (FA) is important during harvesting of anterolateral thigh flaps, aortopopliteal by-pass, coronary artery grafting, and vascularised iliac transplant. The frequencies of variant origins display ethnic variations, but reports from black Africans are scarce. This study, therefore, aimed to describe the variant origins of lateral circumflex FA in a black Kenyan population. Eighty-four (42 right and 42 left) lateral femoral circumflex arteries from 42 cadavers (31 male and 11 female) were exposed by dissection of the femoral triangles at the Department of Human Anatomy, University of Nairobi. The arteries were then traced proximally to their parent trunks. Sites of origin were recorded and representative images of the variations taken using a high-resolution digital camera. Data were analysed using Statistical Program for Social Scientists version 16.0 for Windows and presented in tables and macrographs. The lateral circumflex artery was a branch of the profunda femoris in only 65.5% of cases. Variant origins included from a common trunk with medial circumflex artery (14.3%), with profunda femoris (10.7%), as a trifurcation with profunda femoris and medial circumflex FA (7.1%), and from FA (2.4%). Variant origin of the lateral circumflex FA occured in nearly 35% of the Kenyan population studied, much lower than in oriental populations. The most frequent variant origin is as a common trunk with medial circumflex femoral and profunda femoris, with a very low prevalence of origin from FA. The unusual origins make the artery more vulnerable to iatrogenic injury during surgery and catheterisation. Preoperative angiographic evaluation of the femoral arterial system is recommended. (Folia Morphol 2012; 71, 1: 15–18)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

71

Numer

1

Opis fizyczny

p.15-18,fig.,ref.

Twórcy

autor
  • Department of Human Anatomy, University of Nairobi, P.O. Box 30197-00100 Nairobi, Kenya
  • Department of Human Anatomy, University of Nairobi, P.O. Box 30197-00100 Nairobi, Kenya
autor
  • Department of Human Anatomy, University of Nairobi, P.O. Box 30197-00100 Nairobi, Kenya
autor
  • Department of Human Anatomy, University of Nairobi, P.O. Box 30197-00100 Nairobi, Kenya
autor
  • Department of Human Anatomy, University of Nairobi, P.O. Box 30197-00100 Nairobi, Kenya

Bibliografia

  • 1. Baptist M, Sultana F, Hassain T (2007) Anatomical variations: the origin of profunda femoris artery, its branches and diameter of the femoral artery. Professional Med J, 14: 523–527.
  • 2. Beckman M, Frumberg D, Marquez S (2009) The bilateral nature and origin of the medial circumflex femoral artery. FASEB J, 23: 820–825.
  • 3. Boonkham Y, Plakornkul V (1987) Variational anatomy of the profunda femoris artery in Thais. Siriraj Hosp Gaz, 39: 441–445.
  • 4. Choi SW, Park JY, Hur MS, Park HD, Kang HJ, Hu KS, Kim HJ (2007) An anatomical assessment on perforators of the lateral circumflex femoral artery for anterolateral thigh flap. J Craniofac Surg, 18: 866–871.
  • 5. Fukuda H, Asliida M, Islii R, Abe S, Ibukuro K (2005) Anatomical variants of the lateral femoral circumflex artery: an angiographic study. Surg Rad Anat, 27: 260–264.
  • 6. Gautier E, Ganz K, Krugel N, Gill T, Granz R (2000) Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Joint Surg (Br), 82: 679–683.
  • 7. Lin CH, Wei FC, Lin YT, Yen JT, Rodriguez EJ, Chen CT (2006) Lateral circumflex femoral artery system: warehouse for functional composite Free-Tissue Reconstruction of the lower leg. J Trauma, 60: 1032–1036.
  • 8. Massoud TF, Fletcher EWL (1997) Anatomical variants of profunda femoris artery; an angiographic study. Surg Radiol Anat, 19: 99–103.
  • 9. Pai MM, Prabhu LV, Prakash; Nayak V (2006) Ileofemoral arterial malformation. Rev Bras Cir Cardiovasc, 21: 472–475.
  • 10. Prakash, Kumari J, Bhardwaj AK, Jose BA, Yadav SK, Singh G (2010) Variations in the origins of the profunda femoris medical and lateral femoral circumflex arteries: a cadaver study in the Indian population. Rom J Morphol Embryol, 51: 167–170.
  • 11. Samarawickraina MB, Nanayakkana BG, Wimalagunarathna KWRW, Nishantha DG, Walawage UB (2009). Branching pattern of the femoral artery at the femoral triangle: a cadaver study. Gaelle Medical J, 4: 31–34.
  • 12. Siddharth P, Smith NL, Mason RA, Giron F (1985) Variational anatomy of the deep femoral artery. Anat Rec, 212: 206–209.
  • 13. Suda E, Nizankowski C (1985) Variations in the origin of the deep femoral arteries in human fetuses. Folia Morphol, 44: 262–269.
  • 14. Tansatit T, Wanidchaploi S, Sanguansit P (2008) The anatomy of the lateral circumflex femoral artery in anterolateral thigh flap. J Med Assoc Thai, 91: 1401–1409.
  • 15. Uzel M, Tanyeli E, Yildirim M (2008) An anatomical study of the origins of the lateral circumflex femoral artery in the Turkish population. Folia Morphol, 67: 226–230.
  • 16. Vazquez MT, Murillo J, Marallo E, Parkim J, Sanido J (2007) Patterns of circumflex femoral arteries revisited. Clin Anat, 20: 180–185.
  • 17. Vuksanovic-Bozaric A, Stefanovic N, Pavlovic S, Duraskosvic R, Randelovic J (2007) Analysis of deep femoral artery origin variances on fetal material. Facta Universitatis: Medicine and Biology, 14: 112–116.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-a12fe422-6937-44e3-a5b6-64cb3511fa23
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