Work

A variant deep femoral artery passing anterior to femoral vein: an anatomical observation with implication in femoral vein cannulation

Year: 2024

Type: article

Abstract: The common femoral artery (CFA) typically gives rise to its superficial and deep branches, with the deep femoral artery (DFA) being the largest and most substantial of these branches. This case study presents a rare variation of the DFA characterized by an unusual branching pattern and its specific relationship with the femoral vein within the subinguinal region. In nutshell, the DFA and the medial femoral circumflex artery shared a common origin from the medial aspect of the CFA. The DFA assumed an unusual course, initially passing anterior to the femoral vein above the saphenofemoral junction, followed by a spiraling trajectory around the medial aspect of the femoral vein before running posteriorly. The embryological origins and clinical implications of this anatomical variation are thoroughly examined. This unusual vascular relationship in the subinguinal region may potentially result in arterial injury during femoral vein cannulation or formation of arteriovenous fistula after the procedure.

Source: Anatomy & Cell Biology

DOI: 10.5115/acb.24.083

Authors: Mohammadali M. Shoja, Maria-Teresa De Leon, Jay Sheth, Sana Padival, Tara Tritsch, Gary B. Schwartz

Institution: Nova Southeastern University

Language: English

Topic: Vascular anomalies and interventions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Funder: Nova Southeastern University