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Acta
Medica Medianae
Vol. 45
Number 3, July, 2006
UDK 61
YU ISSN 0365-4478
Contact:
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
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IMPORTANCE OF KNOWING ANGIOGRAPHIC CHARACTERISTICS
OF THE TENSOR FASCIAE LATAE VASCULAR STALK
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 |
