Page 30 - Virtual Vascular Vol 6
P. 30

Femoral Exploration                                                   Exploration of femoral


                                                                                                                                                                                                     artery with


                                                                                                                           A standard femoral artery exposure is via a                               arteriotomy,

                                                                                                                           longitudinal incision centered on the femoral                             embolectomy and
                                                                                                                           pulse.  The common, superficial, and deep                                 repair of common

                                                                                                                           femoral arteries are mobilized.                                           femoral artery











                                                                                                                                                                                                     Vessel loop around
                                                                                                                                                                                                     common femoral artery



























                                                                                                                                                                                                         Vessel loop around deep
                                                                                                                                                                                                         femoral artery

                                                             CT angiogram as predicted showed severely calci-
                                                             fied vessels, multiple levels of occlusion in the right
                                                             anterior tibial artery, but with a preserved posteri-
                                                             or tibial artery and foot arches.



                                                             Despite PTA of the anterior tibial artery providing
                                                             additional blood supply the viability of the toe/foot
                                                             is still at risk due to the presence of infection.                                                                                      Superficial

                                                                                                                                                                                                     femoral
                                                                                                                                                                                                     artery









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