Anatomy - Transfemoral catheter embolectomy according to Fogarty for embolic occlusion of the left external iliac artery

Anatomy Perioperative management Technique Complications Evidence Total Video

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Authors

Edith Leisten

MVZ St. Marien Köln - Ärztliche Leiterin

Date

Arterial blood supply to the pelvis

The abdominal aorta divides at the aortic bifurcation (approximately at the level of L4) into the two common iliac arteries
each common iliac artery in turn divides into an internal and an external iliac artery
the internal iliac artery supplies predominantly the pelvic viscera via its visceral branches, and contributes to the supply of the lower extremities via its parietal branches
the external iliac artery contributes to the supply of the pelvis and, after passing through the lacuna vasorum, becomes the femoral artery

Origin	arises from the common iliac artery immediately caudal to the aortic bifurcation
Course	passes caudally over the upper margin of the sciatic foramen
Relations	dorsally: internal iliac vein, piriformis muscle, lumbosacral plexus ventrally: ureter laterally: external iliac vein, psoas major muscle caudally: obturator nerve
Branches	visceral branches: umbilical arteries inferior vesical artery middle rectal artery in women: uterine artery parietal branches: iliolumbar artery lateral sacral arteries superior gluteal artery inferior gluteal artery obturator artery internal pudendal artery
Distribution	pelvic organs, gluteal musculature

Origin	arises from the common iliac artery caudal to the internal iliac artery
Course	passes along the psoas major muscle towards the inguinal ligament, through the lacuna vasorum, and here becomes the femoral artery
Relations	the right external iliac artery runs beneath the ureter
Branches	the deep circumflex iliac artery runs towards the superior iliac spine and anastomoses with the iliolumbar artery and the superior gluteal artery the inferior epigastric artery runs cranially medial to the deep inguinal ring and between the transversus abdominis and rectus abdominis muscles; further branches include the cremasteric artery and the artery of the round ligament of the uterus
Distribution	ilium, lower part of the abdominal wall

Arterial blood supply to the lower extremity

1. Femoral arterylarge1.1. OverviewOriginexternal iliac artery, which becomes the femoral artery af

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