Use of the deep femoral artery as a tributary artery when performing arterial reconstructions

A retrospective analysis of the results of 100 bypass operations for arterial reconstruction below the inguinal ligaments was carried out. The patients were divided into two groups depending on the choice of the proximal anastomosis zone: group 1 (50 patients) – proximal anastomosis was performed from the common femoral artery, group 2 (50 observations) – from the deep femoral artery. In the early postoperative period in group 1, wound complications developed in 28% of cases, in group 2 – in 8%. When studying long-term results, no statistically significant differences were revealed in terms of primary shunt patency and amputation-free survival. The choice of the deep femoral artery as a tributary artery when performing infrainguinal autovenous reconstructions significantly facilitates the surgeon’s access to the artery in the presence of technical difficulties in isolating the neurovascular bundle in the vascular lacuna.