Page 31 - Virtual Vascular Vol 6
P. 31

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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