Gautier R, Bonneton G
Phlebologie. 1975 Jul-Sep;28(3-4):459-62.
The role of the deep femoral artery has too often been ignored in the assessment of arteritis of the lower limb. This anatomical distribution, which seems to be restricted to the thig, has left pride of place to the superficial artery as being responsible for intermittent claudication. In fact the deep femoral artery represents an exceptional and privileged route for anastomosis that is capable of replacing almost perfectly an obstructed superficial femoral artery and also in a more limited way femoro-popliteal arteries with extensive obstructions. The authors estimate that the deep femoral artery represents a true physiological bypass for a thrombosed superficial femoral artery on which a lumbar sympathectomy has a particularly remarkable action. It is important, in order to obtain as good a result as possible, that the flow in the deep femoral artery should be good, which presupposes complete freedom of the iliac axis and good permeability of the trunk of the artery, begining at its ostium. Surgery of the deep femoral artery is short or lon angioplastic surgery depending on the type of lesion, usually involving a venous patch. The surgical approach is straightforward. Whe it is used for isolated lesions or as the last stage of aorto-iliac surgery, delicate angioplasty of the deep femoral artery is a perfectly feasible operation which the authors believe should take its place, in association with lumbar sympathectomy, in the restoration of the superficial femoral artery.
在评估下肢动脉炎时，股深动脉的作用常常被忽视。这种似乎局限于大腿的解剖分布，使得浅表动脉在导致间歇性跛行方面占据了主导地位。实际上，股深动脉是一种特殊且优越的吻合途径，能够几乎完美地替代阻塞的股浅动脉，在更有限的程度上也能替代有广泛阻塞的股腘动脉。作者估计，股深动脉是血栓形成的股浅动脉的真正生理性旁路，而腰交感神经切除术对其有特别显著的作用。为了尽可能取得良好的效果，重要的是股深动脉的血流应良好，这就要求髂动脉轴完全通畅且动脉主干从开口处开始具有良好的通透性。根据病变类型，股深动脉手术是短或长的血管成形手术，通常涉及静脉补片。手术入路简单直接。当它用于孤立病变或作为主髂动脉手术的最后阶段时，股深动脉的精细血管成形术是一项完全可行的手术，作者认为在与腰交感神经切除术联合用于恢复股浅动脉时，它应占有一席之地。
