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August 20, 2026American Journal of Interventional RadiologyOpen Access

Aberrant course of the superficial femoral artery and profunda femoris artery: A rare vascular anomaly identified during peripheral artery disease intervention

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Authors

APAlex Sebastian Pulgarin PachecoDNDaniel E. NovickAAAli Fares Aboufares

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Overview

Case report demonstrates an atypical course of the femoral arteries in a patient with peripheral artery disease, highlighting the need for anatomical awareness to ensure safe vascular interventions.

Key Points

  • To document a rare congenital variation in the anatomical pathway of the superficial femoral and profunda femoris arteries during endovascular intervention.
  • Assessed a 65-year-old female presenting with symptomatic peripheral artery disease using lower-extremity peripheral angiography.
  • Applied procedural and technical adjustments during endovascular intervention to accommodate the patient's atypical arterial geometry.
  • Angiographic imaging revealed a superficial femoral artery with an aberrant lateral and posterior trajectory prior to continuing as the popliteal artery.
  • Profunda femoris arterial branches displayed an atypical medial extension within the thigh.
  • Endovascular revascularization was completed successfully following real-time technical adaptations to the altered vascular anatomy.

Cite This Study

Pacheco et al. (2026) studied this question.

synapsesocial.com/papers/6a86b5ff8a91293e6a1cd98bhttps://doi.org/10.25259/ajir_1_2026
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