c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Image-Guided Thrombectomy in Vascular Surgery: 4

A D V E R T I S E M E N T

   
 

If there is knowledge via prior ultrasound or arteriogram that the common femoral and profunda femoris are not involved, the SFA may be approached below the common femoral bifurcation through a small incision avoiding the groin crease and lymph node basin.      

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Image-Guided Thrombectomy in Vascular Surgery: 5

A D V E R T I S E M E N T

   
 

In the more typical case, the optimal approach exposes the bifurcation of the common femoral artery. If ultrasound is available and the bifurcation can be localized, a small transverse incision can be placed just over that location to facilitate wound healing without impairing exposure. If the vessel is heavily diseased and local endarterectomy or patch angioplasty is a possibility, then strong consideration to a longitudinal arteriotomy is considered.      

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Image-Guided Thrombectomy in Vascular Surgery: 6

A D V E R T I S E M E N T

   
 

The CFA, SFA, and PFA are controlled separately with vessel loops.       

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This page was last modified on 4/3/2002.