Femoral vein

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Femoral vein
profunda femoris, great saphenous
Drains toexternal iliac vein
Arteryfemoral artery
Identifiers
Latinvena femoralis
MeSHD005268
TA98A12.3.11.023
TA25055
FMA21185
Anatomical terminology]

In the

valves
.

Structure

The femoral vein bears valves which are mostly bicuspid and whose number is variable between individuals and often between left and right leg.[1]

Course

Veins of the leg. Common femoral vein shown, in common usage but not listed in TA.

The femoral vein continues into the

thigh bone.[2] Proximal to the confluence with the deep femoral vein, and the joining of the great saphenous vein, the femoral vein is widely known as the common femoral vein.[3] As the common femoral vein leaves the inguinal ligament region it becomes the external iliac vein.[4]
Other tributaries of the femoral vein are lateral and medial circumflex femoral veins.

The common femoral vein is the segment of the femoral vein between the branching point of the

human anatomical terminology developed by the Federative International Programme on Anatomical Terminology. However, it was thought to be due for inclusion in the next edition following consensus documents presented in 2001 at the 14th World Congress of the International Union of Phlebology, and in 2004 at the 21st World Congress of the International Union of Angiology.[7][8] These consensus documents were brought about by the need felt for more clarity and expansion of terms.[9][10]

Distal segment

Segments of the femoral vein.[11]

In the past, the femoral vein was seen to follow the

anticoagulant therapy.[12]

Because of the widespread misunderstanding, and possible harmful results from the use of superficial femoral vein, a consensus was arrived at in 2001 during the World Congress of the International Union of Phlebology to change the name from superficial femoral vein simply to femoral vein.[13] This has been widely recognised and adopted though the use of superficial femoral vein still persists in some sources. Its use is actively discouraged.[14][15][16] It has been suggested that another term be used – the subsartorial vein.[17][18] A previous usage of subsartorial artery was published to avoid the name superficial femoral vein from being used.[19] As per the consensus of 2002, the superficial femoral artery was unchanged.[20]

Tributaries

The great saphenous vein, and the deep femoral vein are two large tributaries that drain into the femoral vein which then becomes known as the common femoral vein. Other smaller vein tributaries are the lateral and medial circumflex femoral veins.[21] These circumflex veins follow the lateral circumflex femoral artery, and the medial circumflex femoral artery.

Clinical significance

The femoral vein is a common site for a

iliofemoral DVT usually associated with the common femoral vein. An iliofemoral DVT carries a greater risk of a pulmonary embolism developing.[22]

The femoral vein is often used to place a

anatomical variants.[23][24][25] This is associated with a significant risk of infection.[25][26]

The practice of delivering

Additional images

  • Position of femoral vein and artery in adductor canal
    Position of femoral vein and artery in adductor canal
  • Structures surrounding right hip-joint.
    Structures surrounding right hip-joint.
  • Femoral sheath laid open to show its three compartments.
    Femoral sheath laid open to show its three compartments.
  • Femoral vein
    Femoral vein

References

External links