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In the human body, the femoral vein is a blood vessel that accompanies the femoral artery in the femoral sheath. It begins at the adductor hiatus (an opening in the adductor magnus muscle) and is a continuation of the popliteal vein. It ends at the inferior margin of the inguinal ligament, where it becomes the external iliac vein. The femoral vein bears valves which are mostly bicuspid and whose number is variable between individuals and often between left and right leg.[1]

Femoral vein
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including femoral vein.
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Images with and without the sartorius muscle, showing the femoral vein and artery beneath
Details
Sourcepopliteal, profunda femoris, great saphenous
Drains toexternal iliac vein
Arteryfemoral artery
Identifiers
Latinvena femoralis
MeSHD005268
TAA12.3.11.023
FMA21185
Anatomical terminology

SegmentsEdit

 
Femoral vein segments.
  • The common femoral vein is the segment of the femoral vein between the branching point of the deep femoral vein and the inferior margin of the inguinal ligament.[2]
  • The subsartorial vein[3] or superficial femoral vein[2] are designations for the segment between the adductor hiatus and the branching point of the deep femoral vein, passing through the subsartorial canal. However, usage of the term superficial femoral vein is discouraged by many physicians because it leads to confusion among general medical practitioners.[4] In particular, the femoral vein is clinically a deep vein, where deep vein thrombosis indicates anticoagulant or thrombolytic therapy, but the adjective "superficial" leads many physicians to falsely believe it is a superficial vein, which has resulted in patients with femoral thrombosis being denied proper treatment.[5][6][7] Therefore, the term subsartorial vein has been suggested for the femoral vein distally to the branching point of the deep femoral vein.[3]

DrainageEdit

Several large veins drain into the femoral vein:

Clinical significanceEdit

Occlusion of the femoral vein can be life-threatening due to its size.[4] For example, deep vein thrombosis of the femoral vein can cause pulmonary embolism, with a higher risk when being more proximal to the subsartorial vein.[3] The femoral vein is often used to place central venous lines.

The practice of delivering recreational drugs intravenously using the femoral vein is relatively common amongst injecting drug users (IDUs).[8]

Additional imagesEdit

ReferencesEdit

  1. ^ Jonas Keiler; Marko Schulze; Host Claassen; Andreas Wree (2018). "Femoral vein diameter, valve and tributary topography in humans - a post mortem analysis". Clinical Anatomy. 31 (7): 1065–1076. doi:10.1002/ca.23224. PMID 30240062.
  2. ^ a b Page 590 in: Reva Arnez Curry, Betty Bates Tempkin (2014). Sonography - E-Book: Introduction to Normal Structure and Function. Elsevier Health Sciences. ISBN 9780323292177.
  3. ^ a b c Mikael Häggström (2019). "Subsartorial Vessels as Replacement Name for Superficial Femoral Vessels" (PDF). International Journal of Anatomy, Radiology and Surgery: AV01–AV02.
  4. ^ a b Bundens WP, Bergan JJ, Halasz NA, Murray J, Drehobl M. The superficial femoral vein. A potentially lethal misnomer. JAMA. 1995 Oct 25;274(16):1296-8. PMID 7563535.
  5. ^ Hammond I. The superficial femoral vein. Radiology. 2003 Nov;229(2):604; discussion 604-6. PMID 14595157. Full Text.
  6. ^ Kitchens CS (2011). "How I treat superficial venous thrombosis". Blood. 117 (1): 39–44. doi:10.1182/blood-2010-05-286690. PMID 20980677.
  7. ^ Thiagarajah R, Venkatanarasimha N, Freeman S (2011). "Use of the term "superficial femoral vein" in ultrasound". J Clin Ultrasound. 39 (1): 32–34. doi:10.1002/jcu.20747. PMID 20957733.
  8. ^ Maliphant J, Scott J. Use of the femoral vein ('groin injecting') by a sample of needle exchange clients in Bristol, UK. Harm Reduction Journal 2005, 2:6. Free Full Text.

External linksEdit