Which Femoral Approach Is More Efficient For Femoral Artery Interventions

There has always been a debate about groin incisions for preparation of femoral arteries. Commonly, two types of surgical incisions are being used. We classified the patients who have been operated in our center during last 10 year according to their surgical procedures such as IABP insertion and femoral surgical procedures. We compared 440 IABP patients in their own group according to their insertion technique as percutaneous and two surgical incision types. We compared 343 patients underwent a peripheral bypass operation whose femoral arteries were used, according to incision type as longitudinal and oblique we evaluated the incidence of lymphorrhage, wound infections and early vascular complications. In cases of IABP, oblique surgical approach should be preferred less vascular event rate due to direct exposure versus blind percutaneous technique. In peripheral vascular procedures, oblique approach is preferable to longitudinal since it serves an excellent exposure as comfortable as longitudinal approach.

[1]  G. Stone,et al.  Vascular complications after percutaneous coronary interventions following hemostasis with manual compression versus arteriotomy closure devices. , 2001, Journal of the American College of Cardiology.

[2]  B. Whisenant,et al.  Common femoral artery anatomy is influenced by demographics and comorbidity: Implications for cardiac and peripheral invasive studies , 2001, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[3]  L. Hollier,et al.  The Value of the Oblique Groin Incision for Femoral Artery Access during Endovascular Procedures , 2000, Annals of vascular surgery.

[4]  L. Reilly,et al.  Femoral Artery Exposure for Endovascular Aneurysm Repair through Oblique Incisions , 1998, Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery.

[5]  H. Myhre,et al.  Lymph drainage and the development of post-reconstructive leg oedema is not influenced by the type of inguinal incision. A prospective randomised study in patients undergoing femoropopliteal bypass surgery. , 1995, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[6]  O. Taşdemír,et al.  Vascular complications related to percutaneous insertion of intraaortic balloon pumps. , 1994, The Annals of thoracic surgery.

[7]  A. Dimas,et al.  Complications associated with percutaneous placement and use of intraaortic balloon counterpulsation. , 1993, The American journal of cardiology.

[8]  W. Mali,et al.  Antegrade puncture of the femoral artery: morphologic study. , 1990, Radiology.

[9]  G. Flaker,et al.  Intra-aortic balloon cardiac assist: complication rates for the surgical and percutaneous insertion techniques. , 1988, The American surgeon.

[10]  P. McCollum,et al.  Disruption of skin perfusion following longitudinal groin incision for infrainguinal bypass surgery. , 1999, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[11]  J. Skandalakis,et al.  The surgical anatomy of the deep femoral artery. , 1995, The American surgeon.