Understanding Cardiac Anatomy and Imaging to Improve Safety of Procedures: The Femoral Artery and Vein: Part 1

Takanori Sato; Shumpei Mori; Peter Hanna; Aron Bender; Justin Hayase; Shili Xu; Akiharu Yoshioka; Shintaro Yamagami; Takayoshi Toba; Yu Izawa; Kalyanam Shivkumar

doi:10.1016/j.jaccas.2024.102807

Understanding Cardiac Anatomy and Imaging to Improve Safety of Procedures: The Femoral Artery and Vein: Part 1

JACC Case Rep. 2024 Dec 4;29(23):102807. doi: 10.1016/j.jaccas.2024.102807.

Authors

Takanori Sato¹, Shumpei Mori¹, Peter Hanna¹, Aron Bender¹, Justin Hayase¹, Shili Xu^{2

3

4}, Akiharu Yoshioka⁵, Shintaro Yamagami⁶, Takayoshi Toba⁷, Yu Izawa⁷, Kalyanam Shivkumar¹

Affiliations

¹ University of California Los Angeles (UCLA) Cardiac Arrhythmia Center, Cardiovascular & Interventional Programs, UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
² Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
³ Crump Institute for Molecular Imaging, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
⁴ Jonsson Comprehensive Cancer Center, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
⁵ Department of Laboratory Medicine, Tenri Hospital, Tenri, Nara, Japan.
⁶ Department of Cardiology, Tenri Hospital, Tenri, Nara, Japan.
⁷ Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.

Abstract

We revisit and show comprehensive femoral access site anatomy with a combination of images obtained from detailed cadaveric dissection, fluoroscopy, computed tomography, ultrasound, and 3-dimensional printings. Part 1 focuses on the femoral triangle, femoral bifurcation, fluoroscopic and/or ultrasonographic anatomy, and branches of the femoral artery. Profound understanding of this region is fundamental to facilitate safe procedures and to avoid unnecessary complications.

Keywords: anatomy; femoral access; femoral artery; femoral vein.

Publication types

Case Reports