A study of the morphology of the descending branch of the lateral circumflex femoral artery (DBLCFA) as a possible vascular graft for the reconstruction of coronary arteries using angio CT
Authors:
P. Loskot 1,2; J. Baxa 3; T. Hájek 1; J. Valenta 2
Authors‘ workplace:
Kardiochirurgické oddělení FN Plzeň, primář: MUDr. T. Hájek
1; Anatomický ústav LF UK v Plzni, vedoucí: Doc. RNDr. P. Fiala, CSc.
2; Klinika zobrazovacích metod LF UK a FN v Plzni, přednosta: Prof. MUDr. B. Kreuzberg, CSc.
3
Published in:
Rozhl. Chir., 2014, roč. 93, č. 6, s. 307-310.
Category:
Original articles
Overview
Introduction:
Due to the need for alternative arterial grafts suitable for the reconstruction of the coronary bloodstream, we conducted a morphological analysis of the descending branch of the lateral circumflex femoral artery (DBLCFA) using an AGCT scan.
Material and methods:
Not only anatomical variations and the quantitative representation of sclerotic changes, but also the presence of a collateral system in the event of significant stenosis of the pelvic and femoral artery system were analysed.
Results:
The results revealed favorable findings in the sense of the studied artery’s length (9.3 cm on average), a relatively low anatomical variability and a very small percentage of the studied blood vessels participating in collateral blood flow, despite that 72% of tests revealed significant stenotic disease (stenosis of more than 50%) of the upper branch of lower limb arteries.
Conclusion:
According to the defined criteria, 68% of vessels were found to be suitable for grafting. We suppose that this number would be considerably higher in patients with only insignificant or no ischemic disease of the lower extremities.
Key words:
descending branch of lateral circumflex femoral artery – arterial revascularization of the myocardium – Y-graft
Sources
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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2014 Issue 6
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