Transfemoral Fogarty balloon catheter embolectomy in embolic occlusion of the left external iliac artery—Vascular Surgery

vascular surgery

readingtime 16:04 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Accessing the left groin
Exposing the superficial femoral artery
Exposing the common femoral artery
Exposing the deep femoral artery
Embolectomy maneuver
Intraoperative DSA
Suturing the arteriotomy

Authors

Prof. Dr. med. Helmut Kogel

Prof. Dr. med. Helmut Kogel

Dreifaltigkeits-Hospital Lippstadt

Date

date of publication: 13.04.2019

Accessing the left groin

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Make a longitudinal skin incision in the left groin around 1 cm lateral to the palpable pulsation of the femoral artery. Divide the subcutaneous tissue step by step and expose the femoral fascia, which is then incised longitudinally over the superficial femoral artery.
Tip:
Spare the lymphatics on the medial aspect.
Exposing the superficial femoral artery

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

Dissect the superficial femoral artery and encircle it with a vessel loop.

Exposing the common femoral artery

Divide the femoral fascia proximad, transect and ligate the lymphatics. Free the common femoral art

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After activation, you can expect the following content:

Accessing the left groin
Exposing the superficial femoral artery
Exposing the common femoral artery
Exposing the deep femoral artery
Embolectomy maneuver
Intraoperative DSA
Suturing the arteriotomy