Abstract
Background
Common femoral artery (CFA) puncture is performed for endovascular treatment. However,
we sometimes experience branch punctures when the CFA bifurcation level is high. In
this study, we examined the frequency of high CFA bifurcation level and related factors.
Methods
The CFA bifurcation level was identified in 100 patients, who underwent cerebral angiography
or endovascular treatment by femoral artery (FA) puncture, on 191 sides. The height
of the CFA bifurcation level was classified into three groups: normal, high, and very
high. Age, gender, left–right difference, height, weight, body mass index, and comorbidities,
including hypertension, dyslipidemia, and diabetes, were examined to determine the
factors associated with high CFA bifurcation level.
Results
The normal, high, and very high groups were on 142, 35, and 14 sides, respectively.
The high and very high groups, which were defined as high CFA bifurcation levels,
accounted for 25% of all patients. Multivariate analysis revealed that the proportion
of patients with high CFA bifurcation levels was higher in the elderly (p = 0.009)
and those with a history of diabetes (p = 0.042).
Conclusions
Approximately one-fourth of all patients undergoing cerebral angiography or endovascular
treatment by FA puncture had high CFA bifurcation levels, which had a significant
association with old age and history of diabetes. For urgent treatment, FA puncture
might be performed at a higher level below the inguinal ligament if patients are elderly
of those with a history of diabetes.
Key Words
Abbreviations:
AVF (Arteriovenous fistula), AVM (Arteriovenous malformation), BMI (Body mass index), CFA (Common femoral artery), FA (Femoral artery)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 06, 2023
Accepted:
December 31,
2022
Received in revised form:
December 27,
2022
Received:
September 22,
2022
Footnotes
Funding: This work was supported by JSPS KAKENHI Grant Number JP20K17922.
Conflict of Interest Disclosure: The authors declare that they have no conflict of interest.
Ethics: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Acknowledgement: None.
Author Contributors: TU= concept, design and development of the study, acquisition and analysis of the data, writing of the article. KM, RN= development of the study. TU,KM= acquisition of the data. IN, AY,TK and MN= critical review of the article.
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106976
Copyright
© 2023 Elsevier Inc. All rights reserved.
