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During surgery, incisions are made depending on the location of the blockage. [3] Usually, a healthy vein is located and sewn above and below the blockage to bypass the narrowed or blocked femoral artery. [6] This allows the blood to be redirected to flow through the new healthy vessel around the blockage.
However, if flow in the femoral artery of a normal leg is suddenly disrupted, blood flow distally is rarely sufficient. The reason for this is the fact that the genicular anastomosis is only present in a minority of individuals and is always undeveloped when disease in the femoral artery is absent.
Arterial occlusion is a condition involving partial or complete blockage of blood flow through an artery. Arteries are blood vessels that carry oxygenated blood to body tissues. [ 1 ] [ 2 ] An occlusion of arteries disrupts oxygen and blood supply to tissues, leading to ischemia . [ 1 ]
An arterial embolism is caused by one or more emboli getting stuck in an artery and blocking blood flow, causing ischemia, possibly resulting in infarction with tissue death . [2] Individuals with arterial thrombosis or embolism often develop collateral circulation to compensate for the loss of arterial flow.
Illustration of how the buildup of lipids cause a blockage of blood flow to the portion of the artery below the narrowing. Peripheral arterial disease is considered to be a set of chronic or acute syndromes, generally derived from the presence of occlusive arterial disease, which causes inadequate blood flow to the limbs. [51] [52]
Angiography provides important information regarding the perfusion and patency of distal arteries (e.g. femoral artery). The presence of collateral arteries in the pelvic and groin area is important in maintaining crucial blood flow and lower limb viability. However, angiography should only be used if symptoms warrant surgical intervention. [2]