Ahn Ho-Young, Lee Hyung-Jin, Lee Hong-Jae, Yang Ji-Ho, Yi Jin-Seok, Lee Il-Woo
Department of Neurosurgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.
J Korean Neurosurg Soc. 2014 Aug;56(2):91-7. doi: 10.3340/jkns.2014.56.2.91. Epub 2014 Aug 31.
The purpose of this study was to evaluate demographic and clinical factors affecting the common femoral artery diameter and length, and anatomical relationship between the femoral head and the common femoral artery during angiography.
We retrospectively reviewed 109 femoral angiograms. We collected the clinical data of the patients and estimated the common femoral artery diameter and length. We divided the areas in the angiogram from cephalic to caudal direction (zone 0 to 5). The lowest levels of the inferior epigastric artery loop and points of the common femoral artery bifurcation were checked.
The luminal diameter of the common femoral artery was 6.19±1.20 mm. Height, weight, body surface area, as well as common femoral artery diameter were significantly greater in men than in women (p<0.005). The length of the common femoral artery was 27.59±8.87 mm. Height, weight and body surface area showed strong positive relationships with common femoral artery diameter. All of the inferior epigastric artery loops were located above the center of the femoral head. The point of common femoral artery bifurcation was above the center of the femoral head in 4.59% of femoral angiograms.
Males and patients with a high body surface area have a larger common femoral artery diameter. The cumulative probability of optimal targeting between the lowest margin of the inferior epigastric artery loop and the common femoral artery bifurcation is the highest in zone 3 puncture.
本研究旨在评估影响股总动脉直径和长度的人口统计学及临床因素，以及血管造影时股骨头与股总动脉之间的解剖关系。
我们回顾性分析了109例股动脉血管造影图像。收集患者的临床资料，并测量股总动脉的直径和长度。我们将血管造影图像从头部至尾部方向划分为不同区域（0区至5区）。检查腹壁下动脉袢的最低水平以及股总动脉分叉点。
股总动脉管腔直径为6.19±1.20mm。男性的身高、体重、体表面积以及股总动脉直径均显著大于女性（p<0.005）。股总动脉长度为27.59±8.87mm。身高、体重和体表面积与股总动脉直径呈强正相关。所有腹壁下动脉袢均位于股骨头中心上方。在4.59%的股动脉血管造影图像中，股总动脉分叉点位于股骨头中心上方。
男性和体表面积较大的患者股总动脉直径更大。在3区穿刺时，腹壁下动脉袢最低边缘与股总动脉分叉之间实现最佳靶向的累积概率最高。
