Abstract
The variability of the extraperitoneal puncture space between the inguinal ligament and the inguinal crease was evaluated in 100 patients. The distance between the inguinal crease and the inguinal ligament varied from 0 to 11 cm (average 6.7 cm±1.9 SD), the average value for women (7.5 cm±1.9 SD) being significantly greater than that for men (6.3 cm±1.9 SD, p=0.0128). The bifurcation of the common femoral artery was found below the inguinal crease in 20%, at the same levelin 3.5%, and above it in 76.5% of cases. Consideration of these results will help avoid intraperitoneal puncture and improve the rate of successful antegrade puncture of the femoral artery.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Grossman M (1974) How to miss the profunda femoris. Radiology 111:482
Dotter ChT, Rösch J, Robinson M (1978) Fluoroscopic guidance in femoral artery puncture. Radiology 127:266–267
Berman HL, Katz SG, Tihansky DP (1986) Guided direct antegrade puncture of the superficial femoral artery. AJR 147:632–634
Bishop AF, Berkman WA, Palagallo GL (1985) Antegrade selective catheterization of the superficial femoral artery using a movable core guide wire. Radiology 157:548
Kikkawa K (1984) A new antegrade femoral artery catheter needle set. Radiology 151:798
Saddekni S, Srur M, Cohn DJ, Rozenblit G, Wetter EB, Sos TA (1985) Antegrade catheterization of the superficial femoral artery. Radiology 157:531–532
Benninghoff A, Görtler K (1979) Lehrbuch der Anatomie des Menschen, vol II: Eingeweide und Kreislauf. Ferner H., Straubesamt J. (eds). Urban and Schwarzenberg, Munich, Vienna, Baltimore, p. 458
Gray's Anatomy. 36th Ed (1980) Williams PL, Warwick R (eds). WB Saunders, Philadelphia. pp 552, 723–725
Becker RF, Wilson JW, Gehweiler JA (1971) The anatomic basis of medical practice. Williams and Wilkins, Baltimore, pp 714–716
Snell RS (1973) Clinical analtomy for medical students. Little, Brown and Co, Boston, p 121
Haferl A (1969) Lehrbuch der topographischen Anatomie. 3. Aufl. Springer-Verlag, Heidelberg, New York, p 399
Rappaport S, Sniderman KW, Morse SS, Proto MH, Ross GR (1985) Pseudoaneurysm: A complication of faulty technique in femoral artery puncture. Radiology 154:529–530
Zeitler E (1975) Die selektive Katheterangiographie der Arteria femoralis superficialis: Technik, Komplikationen und Möglichkeiten der Differentialdiagnose und-therapie. Elekto Medica 5:167–178
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Lechner, G., Jantsch, H., Waneck, R. et al. The relationship between the common femoral artery, the inguinal crease, and the inguinal ligament: A guide to accurate angiographic puncture. Cardiovasc Intervent Radiol 11, 165–169 (1988). https://doi.org/10.1007/BF02577111
Issue Date:
DOI: https://doi.org/10.1007/BF02577111