Aortoiliac and Aortofemoral Bypass Graft Surgery
|Aortofemoral Bypass Graft|
|Artificial grafts create a path so that blood can move around the blockage.|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Pain that increases the longer you walk or exercise (called intermittent claudication)
- Cold feet or legs
- Scaly, dry, reddened, itchy, or brown skin on the legs or feet
- Nonhealing and/or infected sores (ulcers) on your legs or feet
- The need for amputation of the leg
- Nerve damage
- Obstruction of the new graft by blood clots
- Complications from anesthesia
- Nerve damage
- Chronic disease such as diabetes or obesity
What to Expect
Prior to Procedure
- Physical exam
- Blood tests
- Ankle-brachial index—This test compares the blood pressure measurements in your arms and legs. These numbers should be very similar. If the numbers for your legs are much lower than those for your arms, this suggests a blockage in the arteries that carry blood through your legs.
- Doppler ultrasound—This test uses sound waves to examine the blood flow in your arteries. It can determine which arteries are blocked.
- Angiography—Dye is injected into your arteries and x-ray pictures of your legs are taken. Because the dye will not be able to flow through areas narrowed or blocked by plaque, the specific location of blockages will be identified. Other types of minimally invasive angiography currently used also include CT angiography (CTA) and magnetic resonance angiography (MRA).
- Do not eat or drink anything after midnight the night before your surgery.
- Arrange for help at home after you return from the hospital.
- Arrange to have someone drive you home when you leave the hospital.
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- You will be monitored carefully in the intensive care unit (ICU). You may be there for 1-2 days as needed.
- An incentive spirometer, will be used every couple of hours during the day. This will keep your lungs as open as possible and help to avoid pneumonia.
- A nasogastric (NG) tube may be placed during the operation. The tube is placed into your nose and down to your stomach. Your intestines often stop functioning normally after the surgery. You will not be able to eat anything by mouth until they begin to function again. The NG tube will then be removed. You will slowly progress from a liquid diet, to a soft foods diet, and finally to a regular diet.
- You may also be given daily medicines to help avoid blood clots.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
- Keep your incision clean and dry.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- You can expect to resume your normal activities within about six weeks of surgery.
- There is expected to be a dramatic improvement in your overall ability to walk or exercise.
- Follow your doctor’s directions regarding when you can begin to drive, exercise, lift things, and otherwise exert yourself.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
- Pain that you cannot control with the medicines you have been given
- Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
- Cough, shortness of breath or chest pain
- Your leg becomes cold, pale, blue, tingly, or numb
- Pain or swelling in your legs, calves, or feet
American Heart Association http://www.americanheart.org
Society for Vascular Surgery http://www.vascularweb.org
Heart and Stroke Foundation of Canada http://www.heartandstroke.ca
Institute for Clinical Evaluative Sciences (ICES) http://www.ices.on.ca
Braunwald E. Zipes DP, et al., eds. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 7th ed. St. Louis, MO: WB Saunders Co; 2005.
Townsend CM, Beauchamp DR, et al., eds. Sabiston Textbook of Surgery. 17th ed. St. Louis, MO: WB Saunders Co; 2004.
- Reviewer: Michael J. Fucci, DO
- Review Date: 12/2013 -
- Update Date: 01/27/2014 -