Variants of the deep femoral artery in adult Vietnamese people: autopsy based study

Authors

Keywords:

anatomic variation, femoral artery, Vietnam

Abstract

Introduction: Understanding anatomic variations of the deep femoral artery (DFA) and its branches is crucial for diagnostic angiography and surgical procedures.

Objective: To determine the morphological characteristics and anatomical variations of the deep femoral artery in adult Vietnamese individuals.

Methods: Anatomical variations of the DFA and its branches were examined in 79 thighs from 40 adult cadavers at the University of Medicine and Pharmacy, Ho Chi Minh City (2023). Dissection was performed to determine the origin, branching patterns, and distance of DFA from the inguinal ligament (IL).

Results: The DFA was absent in 2.5% of cases. Its origin from the femoral artery was most commonly posterolateral (29.8%) and posterior (40.3%). The mean distance of DFA origin from the IL was 36.92 ± 16.54 mm. High and middle origins occurred in 35.1% and 58.4% of cases, respectively, while low origin was rare (6.5%). High origin was more frequent in females (48.3% vs. 27.1%, p < 0.05). The LCFA arose from the DFA in 83.2% of cases and from the femoral artery in 13%. The MCFA originated from the DFA in 55.6% and from the femoral artery in 36.4%.

Conclusions: The branching variability of the DFA and its circumflex branches is clinically significant for vascular access, orthopedic procedures, and reconstructive surgery. Recognizing these variations may help prevent iatrogenic complications during femoral interventions.

Downloads

Download data is not yet available.

References

1. Tzouma G, Kopanakis NA, Tsakotos G, Skandalakis PN, Filippou D. Anatomic variations of the deep femoral artery and its branches: clinical implications on anterolateral thigh harvesting [Internet]. Cureus. 2020; 12(4). DOI: 10.7759/cureus.7867

2. Shoja MM, De Leon MT, Sheth J, Padival S, Tritsch T, Schwartz GB. A variant deep femoral artery passing anterior to femoral vein: an anatomical observation with implication in femoral vein cannulation [Internet]. Anatomy & cell biology. 2024; 57(4):616-620. DOI: 10.5115/acb.24.083

3. Natsis K, Totlis T, Dermitzakis I, Paraskevas G, Piagkou M. A rare bifurcation of the external iliac artery into femoral and deep femoral arteries [Internet]. Surgical and Radiologic Anatomy. 2022; 44(9):1257-1260. DOI: 10.1007/s00276-022-03010-w

4. Ren HC, Li TR, Zhuang JM, Li X, Luan JY, Wang CM, et al. Comparison of complete multi-level vs. iliac-only revascularization for concomitant iliac and superficial femoral artery occlusive disease [Internet]. Frontiers in Surgery. 2023; 10:1188990. DOI: 10.3389/fsurg.2023.1188990

5. Moaty MA, Mahmoud EA. Anatomical and radiological study of the variations of profound femoris artery and its branches [Internet]. Kasr Al Ainy Medical Journal. 2020; 25(2):53-65. DOI: 10.4103/kamj.kamj_11_19

6. Georgakarakos E, Papadopoulou M, Karangelis D, Fiska A. Teaching vascular anatomy: the anatomy we know, the anatomy we see or the anatomy we need? [Internet]. Surgical and Radiologic Anatomy. 2023; 45(9):1155-1164. DOI: 10.1007/s00276-023-03203-x

7. Woo HY, Ahn S, Min S, Han A, Mo H, Ha J, et al. Crucial roles of vascular surgeons in oncovascular and non-vascular surgery [Internet]. European Journal of Vascular and Endovascular Surgery. 2020; 60(5):764-71. DOI: 10.1016/j.ejvs.2020.08.026

8. Angelini A, Piazza M, Pagliarini E, Trovarelli G, Spertino A, Ruggieri P. The orthopedic-vascular multidisciplinary approach improves patient safety in surgery for musculoskeletal tumors: a large-volume center experience [Internet]. Journal of Personalized Medicine. 2021; 11(6):462. DOI: 10.3390/jpm11060462

9. Chaudhary A, Patra A, Garg P. Reappraisal of anatomical diversity of lateral circumflex femoral artery with its substantial clinical applicability: cadaveric study [Internet]. Anatomy & cell biology. 2024; 57(3):346-52. DOI: 10.5115/acb.24.047

10. Simka M, Czaja J, Kawalec A. Clinical anatomy of the lower extremity veins-Topography, embryology, anatomical variability, and undergraduate educational challenges [Internet]. Anatomia. 2024; 3(3):136-54. DOI: 10.3390/anatomia3030011

11. Totlis T, Paparoidamis G, Terzidis I, Piagkou M, Tsiridis E, Natsis K. Surgical anatomy of the lateral circumflex femoral artery branches: contribution to the blood loss control during hip arthroplasty [Internet]. Annals of Anatomy-Anatomischer Anzeiger. 2020; 232:151566. DOI: 10.1016/j.aanat.2020.151566

12. Pal AK, Ghosh A. Bilateral Variation in the Origin of Circumflex Femoral Arteries: Anatomical Insights and Clinical Implications [Internet]. Cureus. 2025; 17(5): e84178. DOI: 10.7759/cureus.84178

13. Morita S, Yamamoto T, Kamoshida K, Yamazaki H, Yatabe M, Ichihara A, et al. High deep femoral artery bifurcation can disturb safe femoral venous access: CT assessment in patients who underwent femoral venous access under doppler ultrasound guidance [Internet]. Interventional Radiology. 2021; 6(2):29-36. DOI: 10.22575/interventionalradiology.2021-0001

14. Claassen H, Schmitt O, Schulze M, Wree A. Deep femoral artery: a new point of view based on cadaveric study [Internet]. Annals of Anatomy-Anatomischer Anzeiger. 2021; 237:151730. DOI: 10.1016/j.aanat.2021.151730

15. Manjappa T, Prasanna L. Anatomical variations of the profunda femoris artery and its branches—A cadaveric study in South Indian population [Internet]. Indian Journal of Surgery. 2014; 76(4):288-92. DOI: 10.1007/s12262-012-0677-3

16. Middleton WD, Robinson KA. Analysis and classification of postcatheterization femoral arteriovenous fistulas based on color Doppler examinations [Internet]. Journal of Ultrasound in Medicine. 2022; 41(1):207-16. DOI: 10.1002/jum.15696

17. Polinelli F, Di Caterino F, Alfieri A, Marchi F, Cianfoni A, Cardia A. Dural arteriovenous fistula draining into the superior petrosal vein: a comparative analysis of two case reports for enhanced anatomical understanding and optimal treatment strategy [Internet]. AME Surgical Journal. 2024; 4(4):1-11. DOI:10.21037/asj-23-46

18. Mogale N, Olorunju S, Matshidza S, Briers N. Anatomical variations in the origins of the lateral circumflex femoral arteries in a South African sample: a cadaver study [Internet]. Translational Research in Anatomy. 2021; 22:100098. DOI: 10.1016/j.tria.2020.100098

19. Dhaminirithika AG, Rajilarajendran H, Kavinnilavan G, Indra P. Unveiling the secrets of the profunda femoris artery: A cadaveric journey with morphometric insights [Internet]. Turkish journal of surgery. 2025; 2025:1-6. DOI:10.47717/turkjsurg.2025.6571

20. Łabętowicz P, Zielinska N, Pilewski D, Olewnik Ł, Ruzik K. New Clinical View on the Relationship Between the Diameter of the Deep Femoral Artery and Sex: Index δ-Anatomical and Radiological Study [Internet]. Biomedicines. 2025; 13(6):1428. DOI: 10.3390/biomedicines13061428

21. Palackic A, Skias C, Winter R, Hubmer M, Andrianakis A, Feigl G. Terminology of the branches of the lateral circumflex femoral artery: Who is Who? [Internet]. Journal of Anatomy. 2021; 239(6):1465-72. DOI: 10.1111/joa.13507

22. Vazquez M, Murillo J, Maranillo E, Parkin I, Sanudo J. Patterns of the circumflex femoral arteries revisited [Internet]. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 2007; 20(2):180-5. DOI: 10.1002/ca.20336

23. Łabętowicz P, Podgórski M, Majos M, Stefańczyk L, Topol M, Polguj M. A morphological study of the medial and lateral femoral circumflex arteries: a proposed new classification. Folia morphologica. 2019; 78(4):738-45. DOI: 10.5603/FM.a2019.0033

24. Koshima I, Moriguchi T, Soeda S, Hamanaka T, Tanaka H, Ohta S. Free rectus femoris muscle transfer for one-stage reconstruction of established facial paralysis. Plastic and reconstructive surgery. 1994; 94(3):421-30. [access: 25/08/2025]. Available from: https://journals.lww.com/plasreconsurg/citation/1994/09000/free_rectus_femoris_muscle_transfer_for_one_stage.1.aspx

25. Vemaiah A, Avantika B. Anatomical variations of femoral artery in the site of origin of profunda femoris, lateral circumflex femoral, and medial circumflex femoral arteries [Internet]. International Journal of Medical Science in Clinical Research and Review. 2023; 6(2):350-5. DOI: 10.5281/zenodo.7694274

26. Zlotorowicz M, Czubak-Wrzosek M, Wrzosek P, Czubak J. The origin of the medial femoral circumflex artery, lateral femoral circumflex artery and obturator artery [Internet]. Surgical and radiologic anatomy. 2018; 40(5):515-20. DOI: 10.1007/s00276-018-2012-6

27. Bell L, Rüdiger HA, Stephan A, Schwitter L, Pfirrmann CW, Stadelmann VA, et al. Preservation of the lateral femoral circumflex artery in total hip arthroplasty using the bikini-type direct anterior approach: effect on muscle status and clinical outcomes [Internet]. Bone & Joint Open. 2025; 6(5 Supple A):30-40. DOI: 10.1302/2633-1462.65.BJO-2024-0193.R1

28. Ciaramella M, LoGerfo F, Liang P. Lower extremity bypass for occlusive disease: A brief history [Internet]. Annals of Vascular Surgery. 2024; 107:17-30. DOI: 10.1016/j.avsg.2023.11.053

Downloads

Published

2025-11-21

How to Cite

1.
Doan Duong Chi T, Nguyen Hoang V, Nguyen Thanh V. Variants of the deep femoral artery in adult Vietnamese people: autopsy based study. Rev. cuba. med. mil [Internet]. 2025 Nov. 21 [cited 2025 Nov. 28];54(4):e025076945. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/76945