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Acta Medica Medianae
Vol. 45
Number 3, July, 2006
UDK 61
YU ISSN 0365-4478


Aleksandra Vuksanovic
Faculty of Medicine
81000 Podgorica, Montenegro
Phone: 081/640 406

E-mail: alexandrav2006@yahoo.com



Copyright 2006 by Faculty  of Medicine, University of Nis


Aleksandra Vuksanovic, Vesna Bakic, Zoran Rancic and Sladjana Ugrenovic

Faculty of Medicine University of Montenegro of Podgorica*
Surgery Clinic Clinical Center of Nis**
Faculty of Medicine University of Nis***

Atherosclerosis is the most important and most common type of arteriosclerosis and is a general term for several diseases in which the artery wall becomes thicker and less elastic. The most common location of atherosclerosis occurrence is arteries of lower extremities, while arteries of upper extremities as well as visceral arteries are far less and far rarely affected with this degenerative process.
The most frequent ones are occlusive changes on bifurcation of the abdominal aorta (aortoiliac obstructive atherosclerosis “Morbus Leriche”), trunk of the femoral artery and initial part of the popliteal artery (femoropopliteal obstructive atherosclerosis).
Angiography, as additional method in medicine, gives the most precise insight into anatomical changes on blood vessels. With intention of estimating the possibility of using a slice (lobe part) of the tensor fasciae latae (m. TFL) in plastic and reconstructive surgery, we have analyzed 50 angiograms of femoral artery. The first group included Morbus Leriche patients (25 analyzed angiographics), while the second one comprised patients with femoropopliteal segment disease (also 25 analyzed angiographics). With angiographic analysis of the lateral femoral circumflex artery (LCFA) and its branch, which is dominant in vascularisation of m. TFL slice, we discovered that the diameter of its source, as well as of its branches, is bigger in cases of femoropopliteal segment disease. Then, the reduction of the source diameter of LCFA and its branches, caused by vascular disease, leads to decreased blood supply of m. TFL, diminishing its quality and limiting its usage in surgery.
In Morbus Leriche cases, m. TFL slice cannot be used in plastic and reconstructive surgery, its quality being decreased, due to poor vascularization.
In femoropopliteal segment disease cases, thanks to normal blood supply, m. TFL slice can be widely used for reconstructions or covering of defects, especially in inguinal region, which is the most common site for infections in vascular surgery. Good cognition of angiographic characteristics of m. TFL vascular stalk is of great importance for prevention of its necrosis before its usage in surgical purposes.
Acta Medica Medianae 2006;45(3):5-12.

Key words: angiography, lateral circumflex femoral artery