Femoral Artery

Indications

 

Repair

Anastomoses

Embolectomy

 

On table angiogram

 

Longitudinal incision

- midpoint ASIS and pubic symphysis

- open femoral sheath

- NAVY

- insert catheter into artery

- inject contrast and follow with II

 

Exposure

 

Position

- patient supine

- leg externally rotated

 

Incision

- medial aspect distal thigh over sartorius

- extends over knee to 1 cm posterior border tibia

 

Superficial dissection

- divide deep fascia over sartorius

- retract sartorius anteriorly to expose femoral artery

- at the knee detach medial head of gastrocnemius to expose popliteal artery

- at tibia detach soleus to expose trifurcation

 

Anastomosis

- first clear artery with embolectomy

- vein patch graft or anastomosis with reversed great saphenous vein

- repair 6.0 prolene non cutting needle