Evidence map›Paper›PMID 41934500›Full record

ArticleSurgical and radiologic anatomy : SRA2026

Endovascular management of femoral artery duplication with a proposed anatomical classification.

Mohammadali M Shoja, Rym El Khoury, Ahmad Asha, Philip Bystrom, Robert Weiss, Chad E Jacobs, Lewis B Schwartz

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Article in Surgical and radiologic anatomy : SRA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Mohammadali M ShojaNova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine (NSU MD), #3321B, HPD Library/Lab Building, 3200 South University Drive, Fort Lauderdale, FL, 33328-2018, USA. shoja.m@gmail.com.
Rym El KhouryDepartment of Surgery, Division of Vascular Surgery, Endeavor Health, Evanston, IL, USA.
Ahmad AshaDepartment of Surgery, Advocate Lutheran General Hospital, Park Ridge, IL, USA.
Philip BystromDepartment of Surgery, Advocate Lutheran General Hospital, Park Ridge, IL, USA.
Robert WeissDepartment of Surgery, Advocate Lutheran General Hospital, Park Ridge, IL, USA.
Chad E JacobsDepartment of Surgery, Advocate Lutheran General Hospital, Park Ridge, IL, USA.
Lewis B SchwartzDepartment of Surgery, Advocate Lutheran General Hospital, Park Ridge, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDuplication of the femoral artery (FA) is an exceedingly rare anatomic variant, and its implications for endovascular therapy are poorly defined. We report endovascular revascularization for chronic limb-threatening ischemia (CLTI) in a duplicated FA and propose a classification system for these duplications.

methodsAn 80-year-old woman presented with lower extremity CLTI and underwent computed tomographic angiography (CTA) followed by endovascular treatment of the FA stenosis. In addition, previously published reports of FA duplication were reviewed to characterize anatomic patterns and inform a classification system.

resultsComputed tomographic angiography demonstrated a duplicated left FA with critical serial stenoses of the internal limb and severe disease near the distal confluence. Selective angiography confirmed two diminutive, parallel FA limbs with occlusion at the adductor canal near their coalescence and collateral reconstitution of the popliteal artery. The diminutive internal limb was successfully cannulated and used to traverse the occlusion. Orbital atherectomy followed by balloon angioplasty restored inline flow with minimal residual stenosis, resulting in durable limb salvage.

conclusionA duplicated FA can complicate endovascular recanalization because of the diminutive caliber of the arterial limbs. We identified five patterns of FA duplication in the literature. Type 1 represents partial duplication of the FA distal to the origin of the deep femoral artery, with subsequent reunion proximal to the adductor hiatus, a pattern similar to that observed in our patient. Including the present report, only 21 cases of type 1 FA duplication have been reported in the literature since the early nineteenth century.

Indexed as

Anatomic VariationChronic Limb-Threatening IschemiaEndovascular ProceduresFemoral ArteryAged, 80 and overAngioplasty, BalloonAtherectomyComputed Tomography AngiographyFemaleHumansLimb SalvageAnatomic variationEndovascular proceduresFemoral arteriesPeripheral arterial diseaseVascular malformations

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.