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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

1. Lisboa LAF, Dallan LAO, Puig LB, Filho CA, Leca RC, et al. Midterm follow-up with exclusive use of arterial grafts in complete myocardial revascularization of patients with triple vessel coronary artery disease. Rev Bras Cir Cardiovasc 2004,19. Dostupný z www: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382004000100004&lng=en&nrm= iso&tlng=en.

2. Tector AJ, Kress DC, Schmahl TM, et al. T-graft: a new method of coronary arterial revascularization. Cardiovasc Surg (Torino) The Journal of Cardiovascular Surgery 1994; 35(6 Suppl 1):19–23.

3. Fabbrocini M, Fattouch K, Camporini G, DeMicheli G, Bertucci C, et al. The descending branch of lateral femoral circumflex artery in arterial CABG: early and midterm results. The Annals of Thoracic Surgery 2003;75:1836–41.

4. Sakakibara Y, Abe M, Hiramatsu Y, Shigeta O, Ishikawa S, el al. The descending branch of the lateral femoral circumflex artery for coronary artery bypass grafting. The Journal of Thoracic and Cardiovascular Surgery 1999;118:753–754.

5. Lee DH, Lee W, Kim KB, Cho KR, Park EA, et al. Availability of the right gastroepiploic artery for coronary artery bypass grafting: preoperative multidetector CT evaluation. Int J Cardiovasc Imaging 2010;26(Suppl 2):303–10.

6. Met R, Bipat S, Legemate DA, Reekers JA, Koelemay MJ. Diagnostic performance of computed tomography angiography in peripheral arterial disease: a systematic review and meta-analysis. JAMA 2009;301:415–24.

7. Kim JS, Lee HS, Jang PY, Choi TH, Lee KS, et al. Use of the descending branch of lateral circumflex femoral artery as a recipient pedicle for coverage of a knee defect with free flap: anatomical and clinical study. Microsurgery 2010;30:32–6.

8. Sabalbal M. Descending branch of the lateral circumflex femoral artery – arterial genicular anastomoses 2010. Dostupný na www: http://works.bepress.com/sabalbal/2.

9. EG, Taylor HOB, Orgill DP. Patency of the descending branch of the lateral circumflex femoral artery in patients with vascular disease. Plastic and reconstructive surgery 2008;121121–9.

10. Taha HM, Umraz Khan U. The descending branch of the lateral circumflex femoral artery: a reliable and robust alternative blood supply in the free fibular transfer for avascular necrosis of hip. European Journal of Plastic Surgery 2012;35:731–734.

11. Yamashita Y, Fukuda S, Kigawa I, et al. Preoperative angiographic evaluation of the descending branch of the lateral femoral circumflex artery as a free graft in coronary artery bypass graft. Jpn J Thorac Cardiovasc Surg 2005;53:477–80.

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Surgery Orthopaedics Trauma surgery
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