Peripheral vascular bypass surgery





Definition

A peripheral vascular bypass, also called a lower extremity bypass, is the surgical rerouting of blood flow around an obstructed artery that supplies blood to the legs and feet. This surgery is performed when the buildup of fatty deposits (plaque) in an artery has blocked the normal flow of blood that carries oxygen and nutrients to the lower extremities. Bypass surgery reroutes blood from above the obstructed portion of an artery to another vessel below the obstruction.

A bypass surgery is named for the artery that will be bypassed and the arteries that will receive the rerouted blood. The three common peripheral vascular bypass surgeries are:

  • Aortobifemoral bypass surgery, which reroutes blood from the abdominal aorta to the two femoral arteries in the groin.
  • Femoropopliteal bypass (fem-pop bypass) surgery, which reroutes blood from the femoral artery to the popliteal arteries above or below the knee.
  • Femorotibial bypass surgery, which reroutes blood between the femoral artery and the tibial artery.

A substitute vessel or graft must be used in bypass surgeries to reroute the blood. The graft may be a healthy segment of the patient's own saphenous vein (autogenous graft), a vein that runs the entire length of the thigh. A synthetic graft may be used if the patient's saphenous vein is not healthy or long enough, or if the vessel to be bypassed is a larger artery that cannot be replaced by a smaller vein.


Purpose

Peripheral vascular bypass surgery is performed to restore blood flow (revascularization) in the veins and arteries of people who have peripheral arterial disease (PAD), a form of peripheral vascular disease (PVD). People with PAD develop widespread hardening and narrowing of the arteries (atherosclerosis) from the gradual build-up of plaque. In advanced PAD, plaque accumulations (atheromas) obstruct arteries in the lower abdomen, groin, and legs, blocking the flow of blood, oxygen, and nutrients to the lower extremities (legs and feet). Rerouting blood flow around the blockage is one way to restore circulation. It relieves symptoms in the legs and feet, and helps avoid serious consequences such as heart attack, stroke, limb amputation , or death.


Demographics

Approximately 8–10 million people in the United States have PAD caused by atherosclerosis. These people are at high risk of arterial occlusion, and are candidates for peripheral vascular bypass surgery. Occlusive arterial disease is found in 15–20% of men and women older

In this femoropopliteal bypass, a portion of the saphenous vein can be removed and used to bypass a portion of a diseased artery. To accomplish this, an incision is made down the inside of the leg (A). The saphenous vein is tied off from its tributaries and removed (B). An incision is made in the recipient artery (C), and the vein is stitched to it at the top and bottom of the leg (D). (Illustration by GGS Inc.)
In this femoropopliteal bypass, a portion of the saphenous vein can be removed and used to bypass a portion of a diseased artery. To accomplish this, an incision is made down the inside of the leg (A). The saphenous vein is tied off from its tributaries and removed (B). An incision is made in the recipient artery (C), and the vein is stitched to it at the top and bottom of the leg (D). (
Illustration by GGS Inc.
)
than age 70. In people younger than age 70, it occurs more often in men than women, particularly in those who have ever smoked or who have diabetes. Women with PAD live longer than men with the same condition, accounting for the equal incidence in older Americans. African-Americans are at greater risk for arterial occlusion than other racial groups in the United States.


Description

The circulatory system delivers blood, oxygen, and vital nutrients to the limbs, organs, and tissues throughout the body. This is accomplished via arteries that deliver oxygen-rich blood from the heart to the tissues and veins that return oxygen-poor blood from organs and tissues back to the heart and lungs for re-oxygenation. In PAD, the gradual accumulation of plaque in the inner lining (endothelium) of the artery walls results in widespread atherosclerosis that can occlude the arteries and reduce or cut off the supply of blood, oxygen, and nutrients to organ systems or limbs.

Peripheral vascular bypass surgery is a treatment option when PAD affects the legs and feet. PAD is similar to coronary artery disease (CAD), which leads to heart attacks and carotid artery disease (CAD), which causes stroke. Atherosclerosis causes each of these diseases. Most often, atherosclerotic blockage or narrowing (stenosis) occurs in the femoral arteries that supply the thighs with blood or in the common iliac arteries, which are branches of the lower abdominal aorta that also supplies the legs. The popliteal arteries (a portion of the femoral arteries near the surface of the legs) or the posterior tibial and peroneal arteries below the knee (portions of the popliteal artery) can be affected.

Just as coronary artery disease can cause a heart attack when plaque blocks the arteries of the heart, or blockage in the carotid artery leading to the brain can cause a stroke, occlusion of the peripheral arteries can create life-threatening conditions. Plaque accumulation in the peripheral arteries blocks the flow of oxygen-carrying blood, causing cells and tissue in the legs and feet to die from lack of oxygen (ischemia) and nutrition. Normal growth and cell repair cannot take place, which can lead to gangrene in the limbs and subsequent amputation. If pieces of the plaque break off, they can travel from the legs to the heart or brain, causing heart attack, stroke, or death.

The development of atherosclerosis and PAD is influenced by heredity and also by lifestyle factors, such as dietary habits and levels of exercise . The risk factors for atherosclerosis include:

  • high levels of blood cholesterol and triglycerides.
  • high blood pressure (hypertension)
  • cigarette smoking or exposure to tobacco smoke
  • diabetes, types 1 and 2
  • obesity
  • inactivity, lack of exercise
  • family history of early cardiovascular disease

Sometimes the body will attempt to change the flow of blood when a portion of an artery is narrowed by plaque. Smaller arteries around the blockage begin to take over some of the blood flow. This adaptation of the body (collateral circulation) is one reason for the absence of symptoms in some people who have PAD. Another reason is that plaque develops gradually as people age. Symptoms usually don't occur until a blockage is over 70%, or when a piece of plaque breaks off and blocks an artery completely. Blockage in the legs reduces or cuts off circulation, causing painful cramping during walking, which is relieved on rest (intermittent claudication). The feet may ache even when lying down at night.

When narrowing of an artery occurs gradually, symptoms are not as severe as they are when sudden, complete blockage occurs. Sudden blockage does not allow time for collateral vessels to develop, and symptoms can be severe. Gradual blockage creates muscle aches and pain, cramping, and sensations of fatigue or numbness in the limbs; sudden blockage may cause severe pain, coldness, and numbness. At times, no pulse can be felt, a leg may become blue (cyanotic) from lack of oxygen, or paralysis may occur.

When the lower aorta, femoral artery, and common iliac arteries (all in the lower abdominal and groin areas) are blocked, gradual narrowing may produce cramping pain and numbness in the buttocks and thighs, and men may become impotent. Sudden blockage will cause both legs to become painful, pale, cold, and numb, with no pulse. The feet may become painful, infected, or even gangrenous when gradual or complete blockage limits or cuts off circulation. Feet may become purple or red, a condition called rubor that indicates severe narrowing. Pain in the feet or legs during rest is viewed as an indication for bypass surgery because circulation is reduced to a degree that threatens survival of the limb.

Early treatment for PAD usually includes medical intervention to reduce the causes of atherosclerosis, such as lowering cholesterol and blood pressure, smoking cessation , and reducing the likelihood of clot formation. When these measures are not effective, or an artery becomes completely blocked, lower extremity bypass surgery may be performed to restore circulation, reduce foot and leg symptoms, and prevent limb amputation.

Bypass surgery is an open procedure that requires general anesthesia. In femoropopliteal bypass or femorotibial bypass, the surgeon makes an incision in the groin and thigh to expose the affected artery above the blockage, and another incision (behind the knee for the popliteal artery, for example) to expose the artery below the blockage. The arteries are blocked off with vascular clamps. If an autogenous graft is used, the surgeon passes a dissected (cut and removed) segment of the saphenous vein along the artery that is being bypassed. If the saphenous vein is not long enough or is not of good quality, a tubular graft of synthetic (prosthetic) material is used. The surgeon sutures the graft into an opening in the side of one artery and then into the side of the other. In a femoropopliteal bypass, for example, the graft extends from the femoral artery to the popliteal artery. The clamps are then removed and the flow of blood is observed to make sure it bypasses the blocked portion of the affected artery.

Aortobifemoral bypass surgery is conducted in much the same way, although it requires an abdominal incision to access the lower portion of the abdominal aorta and both femoral arteries in the groin. This is generally a longer and more difficult procedure. Synthetic grafts are used because the lower abdominal aorta is a large conduit, and its blood flow cannot be handled by the smaller saphenous vein. Vascular surgeons prefer the saphenous vein graft for femoropopliteal or femorotibial bypass surgery because it has proven to stay open and provide better performance for a longer period of time than synthetic grafts. Bypass surgery patients will be given heparin, a blood thinner, immediately after the surgery to prevent clotting in the new bypass graft.


Diagnosis/Preparation

Diagnosis

After obtaining a detailed history and reviewing symptoms, the physician examines the legs and feet, and orders appropriate tests or procedures to evaluate the vascular system. Diagnostic tests and procedures may include:

  • Blood pressure and pulses—pressure measurements are taken in the arms and legs. Pulses are measured in the arms, armpits, wrists, groin, ankles, and behind the knees to determine where blockages may exist, since no pulse is usually felt below a blockage.
  • Doppler ultrasonography—direct measurement of blood flow and rates of flow, sometimes performed in conjunction with stress testing (tests that incorporate an exercise component).
  • Angiography—an x ray procedure that provides clear images of the affected arteries before surgery is performed.
  • Blood tests—routine tests such as cholesterol and glucose, as well as tests to help identify other causes of narrowed arteries, such as inflammation, thoracic outlet syndrome, high homocycteine levels, or arteritis.
  • Spiral computed tomography (CT angiography ) or magnetic resonance angiography (MRA)—less invasive forms of angiography.

Preparation

If not done earlier in the diagnostic process, ultrasonography or angiography procedures may be performed when the patient is admitted to the hospital. These tests help the physician evaluate the amount of plaque and exact location of the narrowing or obstruction. Any underlying medical condition, such as high blood pressure, heart disease, or diabetes is treated prior to bypass surgery to help obtain the best surgical result. Regular medications, such as blood pressure drugs or diuretics , may be discontinued in some patients. Routine pre-operative blood and urine tests are performed when the patient is admitted to the hospital.


Aftercare

After bypass surgery, the patient is moved to a recovery area where blood pressure, temperature, and heart rate are monitored for an hour or more. The surgical site is checked regularly. The patient is then transferred to a concentrated care unit to be observed for any signs of complications. The total hospital stay for femoropopliteal bypass or femorotibial bypass surgery may be two to four days. Recovery is slower with aortobifemoral bypass surgery, which involves abdominal incisions, and the hospital stay may extend up to a week. Walking will begin immediately for patients who have had femoropopliteal or femorotibial bypasses, but patients who have had aortobifemoral bypass may be kept in bed for 48 hours. When bypass patients go home, walking more each day, as tolerated, is encouraged to help maintain blood flow and muscle strength. Feet and legs can be elevated on a footstool or pillow when the patient rests. Some swelling of the leg should be expected; it does not indicate a problem and will resolve within a month or two.

During recuperation, the patient may be given pain medication if needed, and clot prevention (anticoagulant) medication. Any redness of the surgical site or other signs of infection will be treated with antibiotics . Patients are advised to reduce the risk factors for atherosclerosis in order to avoid repeat narrowing or blockage of the arteries. Repeat stenosis (restenosis) has been shown to occur frequently in people who do not make the necessary lifestyle modifications, such as changes in diet, exercise, and smoking cessation. The benefits of the bypass surgery may only be temporary if underlying disease, such as atherosclerosis, high blood pressure, or diabetes, is not also treated.


Risks

The risks associated with peripheral vascular bypass surgery are related to the progressive atherosclerosis that led to arterial occlusion, including a return of pre-operative symptoms. In patients with advanced PAD, heart attack or heart failure may occur. Build up of plaque has also taken place in the patient's arteries of the heart. Restenosis, the continuing build up of plaque, can occur within months to years after surgery if risk factors are not controlled. Other complications may include:

  • clot formation in a saphenous vein graft
  • failed grafts or blockages in grafts
  • reactions to anesthesia
  • breathing difficulties
  • embolism (clot from the surgical site traveling to vessels in the heart, lungs, or brain)
  • changes in blood pressure
  • infection of the surgical wound
  • nerve injury (including sexual function impairment after aortobifemoral bypass)
  • post-operative bleeding
  • failure to heal properly

Normal results

A femoropopliteal or femorotibial bypass with an autogenous graft of good quality saphenous vein has been shown to have a 60–70% chance of staying open and functioning well for five to 10 years. Aortobifemoral bypass grafts have been shown to stay open and reduce symptoms in 80% of patients for up to 10 years. Pain and walking difficulties should be relieved after bypass surgery. Success rates improve when the underlying causes of atherosclerosis are monitored and managed effectively.


Morbidity and mortality rates

The risk of death or heart attack is about 3–5% in all patients undergoing peripheral vascular bypass surgery. Following bypass surgery, amputation is still an outcome in about 40% of all surgeries performed, usually due to progressive atherosclerosis or complications caused by the patient's underlying disease condition.


Alternatives

Peripheral vascular bypass surgery is a mechanical way to reroute blood, and there is no alternative method. Alternative ways to prevent plaque build-up and reduce the risk of narrowing or blocking the peripheral arteries include nutritional supplements and alternative therapies, such as:

  • Folic acid can help lower homocysteine levels and increase the oxygen-carrying capacity of red blood cells.
  • Vitamins B 6 and B 12 can help lower homocysteine levels.
  • Antioxidant vitamins C and E work together to promote healthy blood vessels and improve circulation.
  • Angelica, an herb that contains coumadin, a recognized anticoagulant, which may help prevent clot formation in the blood.
  • Essential fatty acids, as found in flax seed and other oils, to help reduce blood pressure and cholesterol, and maintain blood vessel elasticity.
  • Chelation therapy, used to break up plaque and improve circulation.

Resources

BOOKS

Cranton, Elmer M.D., ed. Bypassing Bypass Surgery: Chelation Therapy: A Non-Surgical Treatment for Reversing Arteriosclerosis, Improving Blocked Circulation, and Slowing the Aging Process. Hampton Roads Pub. Co., 2001.

McDougal, Gene. Unclog Your Arteries: How I Beat Atherosclerosis. 1st Books Library, 2001.


ORGANIZATIONS

American Heart Association (AHA). 7272 Greenville Ave., Dallas, TX 75231. (800) 242-8721. http://www.americanheart.org .

Vascular Disease Foundation. 3333 South Wadsworth Blvd. B104-37, Lakewood, CO 80227. (303) 949-8337 or (866)PADINFO (723-4636). http://www.vdf.org .


OTHER

Bypass Surgery for Peripheral Arterial Disease. Patient Information, Vascular Disease Foundation, 2003. http://www.vdf.org.

Hirsch, M.D., Alan T. "Occlusive Peripheral Arterial Disease." The Merck Manual of Medicine—Home Edition, Heart and Blood Vessel Disorders 34:3. http://www.merck.com/pubs .


L. Lee Culvert

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?



Peripheral vascular bypass surgery is performed by a vascular surgeon in a hospital operating room .

QUESTIONS TO ASK THE DOCTOR



  • Why is this surgery necessary?
  • How will the surgery improve my condition?
  • What kind of anesthesia will be given?
  • How many of these procedures has the surgeon performed?
  • How many surgical patients had complications after the procedure?
  • How can the patient expect to feel after surgery?
  • How soon will the patient be able to walk?
  • How long will it take to recover completely?
  • What are the chances of this problem recurring after surgery?
  • What can be done to help prevent this problem from developing again?


User Contributions:

Jean
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Apr 25, 2006 @ 9:09 am
I have had some cramping in my left leg,especially if I climb stairs. I recently had an Ultra Sound test.I had to call my doctor for the results and then I only got to talk to the rceptionist.
He relayed the message through her that he was seting up an appointment with a specialist!
Shouldn't my doctor go over the results of the test and explain them to me before sending me to another doctor?I am very upset about this procedure.
Thank,
Jean
email me at home:jebutler@dave-and-barb.com
ann
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May 12, 2006 @ 11:11 am
my husband had a fem-pop done to eg on 090605: the graft became infected and was removed: He is scheduled to undergo the surgery again on 060606: is there a possibility of any complications because of a second incision to the same surgical site?
Fred
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Jun 12, 2007 @ 6:18 pm
I have had Peripheral Bypass Surgery about 3 weeks ago. My leg that was operated on is still numb from the knee down in the front portion. Will this go away. Thanks again Fred
valerie
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Jan 21, 2008 @ 12:00 am
my husband had both legs done 08\07 left leg colted off re done 11/07 still has swelling,pain,numbness is this normal.
ayat
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Mar 3, 2008 @ 2:14 pm
just wanna ask a simple question that when we tie the tributaries of the saphenous vein to connect it to the obstructed arteries..gonna the doctor leave the tributaries of that vein tied??? is that vein not important vein or essential to our body???
plz contact me on my email ayat_ismaeel@hotmail.com
i am in the 4th grade of the faculty of medicine.kasr alainy.cairo university..just attended that surgery today in general surgery..thanks alot
bonnie
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Apr 26, 2008 @ 9:21 pm
excellent article.

Thank you for the knowledge.

Bonnie
Bhavini
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Apr 30, 2008 @ 5:17 pm
Hi, My dad had his AAA operation on 18/03/08, they operated from the groin and insterted a stent. They went back in a week later as he had a endo leak. There after he caught a infection and had 3 other operations but none worked. they have now tied the femoral artery off. He has no feeling from below his knee to the foot. Can he walk like this, or will he need a bypass? Will he able to walk after the bypass?
Dan Stutts
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May 6, 2008 @ 9:09 am
The statement: "Peripheral vascular bypass surgery is a mechanical way to reroute blood, and there is no alternative method." while correct, does not address the principal question regarding the indication or contraindication of other mechanical treatments, such as peripheral endarterectomy. I believe that "Alternatives" should include other mechanical treatments of peripheral vascular disease, and not simply refer to alternative bypass methods, which of course, there are none, since the two alternatives, autogenous and prosthetic, are included in the definition of bypass.
Bhav
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May 21, 2008 @ 3:03 am
Thanks, they have now done the femoral obturator bypass. They Shin area on the leg started going dry and had peeling skin, the skin looks very dark around that area. The doc's are trying to save the leg, they reckon this may help. They weren't best pleased with the toes, as they didn't feel so warm. Do you think it will come down to a amputation? Can a bypass heal tissue that is already dead?
bhav
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May 26, 2008 @ 6:06 am
Its now been 1 week since the bypass. The toes are slightly black on the tips, the doctors are saying they can't see a big change with the leg. Do you think he will need amputation? Are toes likely to change colour?
michael
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Jul 29, 2008 @ 5:17 pm
had femoro-peroneal bypass 3 months ago
have no feeling inside of calf and most of ankle
did my doctor cut a nerve
Sam
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Jan 5, 2009 @ 4:16 pm
Of the complications listed, I see clots but I don't see collapsed artery. Is Collapse of an artery a possible complication?
Joseph Vlad
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Feb 5, 2009 @ 10:10 am
Joseph I have best of the disease in my legs and I have been told that if they flush my legs or stand to legs they will weaken the blood vessels in my leg and that I can possibly lose my likes at this point after nine months of dealing with two different vascular surgeons that have two different views on what to do or not to do I am only able to walk a block before I have to rest I also have trouble going downstairs my legs just seem to give out when my calves are most tight Stepanov sidewalk and walking downstairs I can not see why have to wait for me to get leg sores foot sores before anything it is done what I need to know is how much truth is there to these procedures or how much is scare tactics they keep the patience Joseph
howie
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Feb 15, 2009 @ 9:21 pm
my mom just had this surgery
thanks very much for the info
keep up the great work
Bart Lansky
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Nov 15, 2009 @ 6:18 pm
My doctor is recommending this surgery based upon ar arterty collapse from an accident, i can walk an do moderate exercise i would like to be able to run again and do very heavy exercise i am 38 years old. Is it possible that I will be able to run real distances again?? Once i do the operaton am I limiting the chances of the blood rerouting itself??
Rose
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Jan 27, 2010 @ 5:17 pm
I believe after reading all of the info regarding PAD surgery I would not do it. My aunt is losing her foot as we speak because of the failure of the procedure. She is 66 and had blood clots. Apparently the thinners did not work. I don't know about the treatment options but John Hopkins or Mayo must have better treatments than this.
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Mar 21, 2010 @ 3:15 pm
I had bypass surgery to restore flow to my lower leg.It worked great for a year until I fell into a hole at work and it instantly felt as if I never had the operation. Can blunt trama cause a bypass failure? Have you heard of this situation before? Thanks
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May 15, 2010 @ 6:18 pm
PAIN LEFT GROIN,THIGH,CALF,ANKLE,BOTTOM OF FOOT. ALL LEFT SIDE. MY ONLY PROBLEM OF THE LIST OF CAUSES IS, I SMOKE. EVERYTHING ELSE IS GOOD. HAD A HEART CATH 19 MOS. AGO WAS FINE. MY PROBLEMS STARTED AFTER HAVING GALLBLADDER SURGERY 19 MOS. AGO. I AM ON PLAVIX, HAVE BEEN FOR ABOUT SEVEN YEARS. HAD ANGIPLASTIC 7 YEARS AGO, MINIMUM PLAQUE.
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Jun 15, 2010 @ 2:14 pm
This information may be helpful to you in deciding whether to have this surgery or not.
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Jul 8, 2010 @ 6:18 pm
i have a cleare view after reading the infomation i have had aourta bypass 4 years ago an just this week visited my gp an he told me my circulation gone agai i have already recived my app with surgeon but my question is have i now maybe run out of options my sister has same problem an is now lost her leg i dont want to think the worst but i must prepare myself would be gratefull for some straight answers many thanks await your reply
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Jul 13, 2010 @ 11:11 am
My husband had fempop op on 1st June 2010, still has pain, swelling of lower leg and ankle, numness and leg very sensitive. Is this normal after this time, he cannot walk very far yet, and sits with leg up most of the time!
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Jul 18, 2010 @ 5:17 pm
Had Femoral to Femoral by pass suregery done in May 2010 left leg was total blocked off. Have had stents put in the Lilac artery numerous of times.and other areas regarding the legs and adom. area. But still have pain in the left leg above my knee. has anyone exper. this problem I can't even stand pressure on that leg... Please let me know concerned...
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Aug 8, 2010 @ 6:18 pm
My sister was suppose to have an angigram this past week-but nothing could be done-because of total blockage. They are going to do a stress test (no Treadmill) this week and then a preop appt the following week. How soon does the actual bypass usually happen after that?
mike pollard
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Sep 4, 2010 @ 6:06 am
My mother aged 94 is about to undergo a vascular surgical by pass on her left leg & we understand
(because she lives alone)she will need to go into a nursing/convalescant home(temporarily)to fully
recover
My question is for how long?what is the recovery time
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Sep 13, 2010 @ 5:17 pm
my mom had bipass surgery because of blockage of bllod vessel to the feet. She has severe pain in her feet after surgery and cannot walk. Is this normal?
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Sep 14, 2010 @ 2:02 am
how do i see answers here on this web site ,im new and have leg op coming up
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Oct 4, 2010 @ 9:09 am
I had bypass op on left leg from the groin area to lower leg.My leg then got infected and I was re-admitted to hospital.After further 2 months I have pain in my foot, my ankle and sporadic 'shooting pains' esp in calf, also numbness in shin!My ankle area looks as though blood has settled there and pain developes when walking.
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Oct 7, 2010 @ 9:21 pm
How do I find answers to questions asked? I had by pass surgery I August and I have twinges in my knee but am walking fine.
glenda
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Oct 19, 2010 @ 11:23 pm
My husband had surgery on his left leg he had completely blocked from the knee down and was cold as ice to his toes. They did surgery to remove the clots lots of them and now his foot in the arch and his toes tingle and feel asleep all the time they are really bothning him. He had a brain stem stroke in 2006. He is short on patients. How can I help him or what can he do tohelp this? He is on blood thinner (cumuden) I didn't spell that right.his count is up to 2.6 now. His leg is still sore in the upper part.It has been 1 month from surgery.He is 60 yrs old.
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Oct 26, 2010 @ 3:15 pm
I had surgery on my left leg. a procedure where the surgon drilled out the plaque as I had a blockage that was missed when a stint was put in three years earlier. My problem was, that after the cath was placed for the surgery, or withdrawn, I dont know which I developed white cell blood clotting in my right leg. The opposite leg that had the procedure done. I noticed that I was losing feeling in my foot after the procedure and informed the surgical team that I could not feel my right foot. A utrasound was preformed and a blockage waa found just above my knee. The surgon that did my first procedure, then did a entry surgery, wher he opened my right leg to repare remove the clot and redo artery. After the surgery about three to four hours later clots started forming again as before I could not feel my foot. A cat scan was done and determinded clotting was again the culprit. A radiologist performed another procedure and remarked he had never seen clotting so agressive. This procedure was so that a anti clotting drug could be dripped in to disolve the clot. I now know that this procedure did not work, as I over heard one of the nurses in the ICU unit state that procedure failed, not to me was this said, I just over heard it. the next morn A fourth and final cath surgery procedure was preformed by anothe radiologist, inserting two medicated stints, approx three inches long in my leg. My question is what the hell happened, I am not satified with the respond that medicine is not an exact science. I am not a medical professional, but common sense tells me that, if these were white blood cells causing the clotting that I had been introduced to a bacteria to my right leg thru the cath placed for the procedure, resulting in the clot formation. As far as I can figure out my leg below the knee was with out blood flow for between 8 to 11 hours between all of the procedures. It has been four months since this has happened and I still do not have complete feeling in my foot or the front of my leg, hoe long will it take to get back? Did the surgical team cause this? If you can help me please e mail me and explain. Has anyone else experianced the same thing?
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Jan 25, 2011 @ 9:09 am
I had a by pass surgery about Seven years a go on my iliac arty to my right leg and now it feel so painful almost like my leg is cramping up again. Im worried something is wrong. Help Im scared I might have a malfunction in my bypass or something has gone bad. I had cararctation of the aorta and wen they put the stent in that I have my iliac collapsed and they had to bypass it and now I feel like something is not right. Please help !
Addie
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Feb 12, 2011 @ 11:11 am
I had the Peripheral Vascular Bypass Surgery on both legs in November, 2001. Recently I have been having really bad aching pain in my left leg, thigh and left side lower back. Also, what happens when ten year has passed. Is it possible that these grafts can last indefinately
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Feb 25, 2011 @ 7:19 pm
A recently performed angiogram showed my one-year-.old left leg by-pass is no longer working and there is extreme blockage in my veins. My options are 1) do nothing and live with the pain; 2) repeat the by-pass (not recommended), and 3) amputation of the leg. I am diabetic (not controlled), high blood pressure (under control), non smoker, 68 years old female, who is completely devastated. As late as six months ago I thought everything was going well. Do you have any other options I can try. I'm willing to try anything.
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Mar 6, 2011 @ 11:11 am
my dad had this surgery done about 2 weeks ago,he is on antibotics and has his leg very swolen. can i put cold or warm compress on it? what can be done for the swolleness
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Mar 22, 2011 @ 12:12 pm
I am due to under go by-pass operation on right leg i am worried about the risk factors,can any one say there has been a good success rate thank you
Nikole
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Mar 26, 2011 @ 3:15 pm
Is it common to have extreme post op surgical site pain as well as foot swelling. We are now 24 hrs post op and experiencing this.
Sophie Lamb
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Mar 28, 2011 @ 7:07 am
My 85 year old father had surgery to remove plaque from femoral artery. He bled 3 times after and endured another 3 operations after each bleed, a total of 4 operations in 3 weeks. I feel he has been butchered by a vascular surgeon that has no idea what he is doing, any comment?
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Apr 4, 2011 @ 3:15 pm
my husband had fermoral gusset inserted and his arteries in the legs cleaned out. the op was 3 weeks ago. he is getting sudden shooting pains from his groin down his leg, this makes him whince. is the pain normal? thank you, mrs robinson.
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May 16, 2011 @ 2:02 am
my mothers right leg has blockage and her toe has turned black we are waiting to see if another doctor can do a by pass if not they want to amputate the leg. I dont know what she should do either one might kill her or might get gangrene etc.
do you know of any other circulation treatments? Please Help?
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May 16, 2011 @ 2:14 pm
i am 51 year old woman i am going in the hospital friday for a bypass they are going from above my belly button then down to my legs they tried stients but couldnt get them in. i am scared i will say that the surgery the dr. said takes 2 hrs. how will they go from the belly area to the legs?
i had stients put in my heart in now 2010 will this affect my heart
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Jun 4, 2011 @ 3:15 pm
my husband had heart by pass surgery in 2007 and now he has a bunch of blood vessels that had grown in the chest and is going to the the heart and lungs and the ones that is going to the lungs is taking blood away from the heart supply what can be done to correct that his doctor has never seen this before.
Ed
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Jun 25, 2011 @ 12:12 pm
Good afternoon,

My Dad was just moved to a private room an hour ago. He's progressing well. He stayed in the ICU for 4 days since surgery on Tuesday. Tough surgery as expected .. Here's the website for clear explanation about the surgical procedures. Thanks for keeping him in thoughts and prayers.

Love,
JB
Mary
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Jul 3, 2011 @ 1:13 pm
My husband is 82 yrs. old and has been diagnosed with necrosis in his right foot. He was told by his family doctor that he is not a candidate for any type of surgery due to the fact he is on coumidin and he would probably would have a massive stroke; however, I am wondering if this femo-pop surgery would be something that he could indur with major complications. Appreciate your comments.
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Jul 12, 2011 @ 11:23 pm
this is the exact surgery that i had it took a year for it to quit working
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Jul 22, 2011 @ 6:18 pm
My husband had a single by pass surgery March 8, 2011. A artery from his left chest was re-routed to the widow maker artery to correct a 80% blockage. Since the surgery he does not feel any better than he did prior to having the surgery. I have taken him back to cardiologist several times and they keep saying it is anxiety and depression. I have been with hime for over 35 years and do not see the depression or anxiety they say he has, and he says it's not that at all. Another heart cath was done just this past Tuesday and they said that the artery that they grafted has shriveled some and is not doing what they thought it was going to do, but his blood flow is great. I am very concerned because he has same symptoms he had when they said he had a 80% blockage. I am afraid they are missing something. Is there anyone out there that can give me some answers. Very concerned for his health.
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Jul 25, 2011 @ 11:11 am
I had knee surgery 4 weeks ago and had 3 procedures, I am non-weight bearing for another few weeks. I am quite concerned because the blood flow to my lower leg and foot becomes immediately reduced whenever I am up on crutches (this is the non-wieight bearing leg). The color remains dusky blue the whole time I am up on crutches or standing or for that matter whenever my foot stays lower than my waist level. For example if I am in a wheel chair, my foot swells (which post knee surgery is not terribly unusual) but it turns dusky. The only way the color returns to my foot and lower leg is when I raise my leg back up onto a pillow when I am sitting or laying. I am very concerned that the main vessels in my leg are somewhat compromised post -surgery. I am even more concerned what will happen when I start forcing my leg flexion past 90 degrees as pain occurrs in the same area as the scar/surgical site whenever I strain the area trying to flex my knee.

Please respond as to what can be done to assess this ongoing circulation issue and prevent any further exacerbation as the physiotherapy will become more extensive with attempting to weight bare very soon.

Thank you (PS my profession involves alot of walking and I have never had any issues until my knee accident tearing my knee cartilage, acl an meniscus). SDMature
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Jul 29, 2011 @ 9:09 am
aorto bi femoral bypass done 3weeks ago still have nummniess in legs when sitting is this normal
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Aug 2, 2011 @ 10:10 am
I read this article and I feel it is very infomative. I had a aorta by lateral by pass in 97, I was only 47 then. My doctor bought me 12 years..in Nov of 2010 I went back into the hospital to have a fem to fem by pass, it did not work. I was back in the hospital in April 2011 but when they open me up the flap that protect the intestines and stomach was up high, so when they went to pull it back down my intestine leak so they had to repair that and abort the by pass...I went back into the hospital in May 2011 and had a aorta by lateral by pass. While I was in there 6 days later I had to have a by pass in the right groin area as I develope 2 blood clots. Although it was not fun, I feel 100% better. It's nice to walk again with no pain...
To answer Buddy question yes it is normal to have some numbness
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Aug 12, 2011 @ 9:21 pm
I had the bypass on my leg three months ago they put a graft in a little above my knee to just below my knee on the inside.The outer part of my leg is numb but I can walk ok and does not hurt much. My problem is it keeps filling up with fluid. They have drained it now about five times. When they drain it they fill it full of antiboticks and alchohol . It fills back up in a couple of days. Will it eventually stop or is there something else I can do. They have me stay in bed with leg up but so far has not worked. I do not think they want to open it up cause the fluid is building up where the graft is. Has anyone had this problem?
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Aug 17, 2011 @ 6:18 pm
AN ARTICLE ON PAD I THOUGHT DAD REALLY NEEDS TO READ
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Sep 8, 2011 @ 8:20 pm
My husband had a Fem-Pop on right leg one week ago. He has been following the surgeons orders and keeping the leg elevated on pillows to keep it within the level of his heart. The incisions are healing well, but I noticed that two days ago that his ankle,inside of the affected leg has turned blue from ankle bone to the bottom of his heel. I called the doctors office and let them know, but the nurse asked me if the foot was cold, and I told her it wasnt. She said that was good. Also wanted to know if he could wiggle his toes, and he can. So she seemed ok with the report of the blue area. But on the evening of the third day, the blue area had darkened and there is now a small red spot in the same area.Why?
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Sep 13, 2011 @ 2:14 pm
WHY IS THERE NO MENTION OF THE SILVERHAWK PROCEEDURE FOR PAD? 7 MONTHS AGO I Had bypass surgery done on my lft leg and already it has started to clog up. i am on my way to see my surgeon abouty an angioplasty. no way . the silverhawk is a non-evasive surgery and there has only a 3 day recovery rate. it was developed in 2003 by foxwood tcchnologies and is now being done in major hospitals. why was i not given the option of choosing this surgery.
Phillip
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Sep 23, 2011 @ 1:13 pm
I had aorto femoral bypass surgery august 2011. When can I get back to my normal activities like mowing the yard, driving a car, etc.
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Sep 24, 2011 @ 2:14 pm
My 63 year old father had Fem-Pop bypass surgery 3 months ago. However, the wound just would not heal. The district nurses and consultant all assured him that it was nothing to worry about and that the wound was not infected. Sadly, earlier this week, he died suddenly after severe heamorraging from the artery. We haven't been given any information as to why this has happened and looking around the internet it appears to be a rare event. Does anyone have any idea what might have gone wrong? Thanks.
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Sep 25, 2011 @ 7:19 pm
Further update on my previous post:
Looking at the nurses notes, 3 weeks ago it was commented '4 sutures visible' (which I guess suggests that they should not be!).
Following day, different nurse, 'sutures snipped'!!!

I am really worried now that the sutures 'snipped' were the graft (PTFE) sutures themselves, which should never be removed. Is that level of incompetence really possible or am I clutching at straws??
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Nov 2, 2011 @ 8:08 am
I had aortobifemoral bypass surgery done on my stomach and groin area in my legs about 3 months ago,since then I have had some pain in my lower back,and alot of pain and tingling that starts in my lower stomach and goes all the way down to my knees in both legs.Is that normal? Should I be worried about all this pain, because I feel the surgeon may have done something wrong,What should I do now.
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Nov 9, 2011 @ 8:08 am
What will my hubby be to do / not do post bi fem bypass op
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Dec 11, 2011 @ 7:19 pm
Unfortunately, I can beat all of you. I've had 18 angioplasties, and 2 bypasses on my legs. In November 2009, when I had my first by-pass, it got infected,and they had to cut out some of my muscle. I almost died 2 times, too. I had to have transfusions. I had to carry around a wound vac for 4 months. I also got foot drop in both feet from the operation. This time, 4 doctors refused to touch me, because I only had one good vein left to use,which means next time they have to amputate. I finally found a doctor at USF, Tampa General Hospital, and had it done in October of this year,(2 months ago).They cut the inside of the leg they took the vein from from my ankle to my groin. The other one they cut in 3 places.Now I have edema real bad in the leg and foot they took the vein from.But, thank you God, I still have my life. I still have to have angioplasty because the leg they took the good vein from has another vein blocked, and I can't walk far because of the pain in my calf.
veronica
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Jan 6, 2012 @ 9:21 pm
my aunt had bypass surgery 2days ago and it was complicated because her heart got swollen so they could not close her cheast and now the doctors say its just a matter of time they have to wait till her heart is not swollen so she can go into surgery again and finish what they started also another thing is that she has diabetes,she was also having Dyaliss 3times a week so we dont know what to expect anybody can tell me something what to expect please
Bette
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Jan 12, 2012 @ 8:20 pm
My husband is 53 years old, in 2006 he had an aneurysm that burst behind his knee, stopping all blood flow to his foot, he was within minutes of losing his leg, he had major surger within 1 hour of being admitted to the emergency room. They discovered that he had another one behind his other knee, as well as both femoral and AAA. He also has had stents put in his iliacs as they were narrowing. He has had surgery on all of them with artificial grafts as well as vein grafting in both legs, the artificial ones are in his groin. Between his knee and groin where the graft was done they found a problem, they are doing further tests to determine what is going on. They mentioned that something is not right where the vein that was basically just "clamped off" His surgeon is having the test looked at by the radiologist and is going to get back to us to see what the problem might be and how to proceed. His AAA 6 months ago was a 4.7 and since has not had any significant growth. Initially they said they have never seen someone so young have all 5 at one time. Is the issue in his leg something that can be repaird again with artifical grafting or vein grafts? They had to use vein to restore the flow so he still has pain etc and all other symptoms but is happy to be alive.
Jim Devlin
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Jan 27, 2012 @ 2:14 pm
I was informed by my doctor that sense my artery collapsed behind my right knee that a bypass would also collapse.
karen
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Feb 3, 2012 @ 9:09 am
Why can't I see any responses to questions asked? Some of these questions are the same ones I have. Would be helpful if there was a link to responses. Husband had fem-pop on left leg in Dec. 11.
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Feb 20, 2012 @ 5:05 am
i had byepass done 4weeks ago the byepass has worked up till now but the nerve and muscle had stuck togather they had to be pulled apart i can not walk for more than ten steps then i get very servre pain can anyone tell me how to get read of this pain.
sherry lynch
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Mar 20, 2012 @ 7:07 am
i am posting for some insight. i have a sister who has drank and smoked her way through life. she is 50. had a bypass to one leg about 1 year ago. had a lung bx last summer and developed a clot in other leg and had bypass. had it repeated again in january. she has foot drop and loss of sensation to the leg that has been done twice. she has never stopped smoking and has lung cancer. got radiation for that and now has brain cancer and getting radiation again. anyway she is trying to sue the surgeon. i am appalled. i think with the hx i provided here that it is not the surgeons fault. she thinks she is going to get 100,000 dollars. ( just filed 1 month ago) so my thing is that after reading above comments that these complications are common and especially common if you have cancer and continue to smoke and drink. any thoughts? do surgeons really get sued over common post op complications? i would think that the lawyers would shred this to pieces as she is so non compliant.
Leah
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Apr 9, 2012 @ 11:11 am
My husband had vascular bypass done on his right leg. It has been 3 months. He says his leg is numb and keeps him awake at night. What should we do?
larry
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Apr 19, 2012 @ 11:11 am
best tip dont smoke the biggest mistake i ever did 10hr of surgery lots of walking
Bhavesh Soni
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Apr 23, 2012 @ 1:13 pm
Hi, I am Bhavesh Soni 36 year old and I am suffering from artry blokeege in both lower linbmy left leg artry is blocke 17cms and my right artryis blocke by 12cms before 8months i also operate my left leg angioplasti but still I am suffering in walking dr. have no reason for blockeg becouse I naver smoke or drinks,no heridity, no colestrole,no suger,ni b.p.
now pleasw suggess me what to do
my Email id is bs27575@yahoo.co.in
williamstarnes
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May 2, 2012 @ 9:09 am
is it common to have numbness in foot and pain in legs after having fempop surgery
williamstarnes
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May 2, 2012 @ 11:11 am
has the doctor put you on plavix because that will stop your blood from clotting also have the doctor check you for diabetes
Donna Williams
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May 12, 2012 @ 11:23 pm
What alteratives is there left Have P A D Had (3 surgerys stints put in both legs ) 1st surgery worked great was able to walk was so very happy to have life bk couldent stop walking but short lived last to surderys still not able to walk what is next for me dont want to be in wheelchair im a mother with smaLL CHILD
Sarah
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Jun 26, 2012 @ 9:21 pm
My Mom had a few stents put in to her left leg and a year later had a peripheral bypass surgery done. After this surgery she's had about four different surgeries because the doctor says that there is still something blocking the blood flow where he connected the veins for the bypass. Is this normal? Will it ever be ok? Now the doctor is suggesting another surgery where he will take another vein from her other leg or another area in her body to do another bypass surgery. Should we get a second opinion? What are some good questions to ask a second doctor?
maggie
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Jul 21, 2012 @ 7:07 am
hi im a 46 year old woman who has had distal popliteal occlusion with intermittent claudation in my left leg for 3years now and have been treated with cilostazol, an angioplasty was attempted but had to be aborted due to significant distal disease and good collateralisation i have since had nerve damage in the leg as well, after seeing my consultant on tuesday he tells me that i have no pulses below the femorals in either legs and i have to go for further duplex then a meeting to discuss the next step, a bypass has been discussed but if a bypass only lasts between 5-10 years what happens after that, would it be better to wait until the very last moment before a bypass is performed if the outcome is the loss of my leg? thankyou
Carmeline vidal
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Aug 1, 2012 @ 1:13 pm
13 weeks ago I had a leg bypass and at the moment I am feeling some discomfort in that leg, also around the scare. The wound has healed. I am worried as I am in Europe on holidays and not sure what to look for if anything is wrong, what to do if there is something that I need to be concerned about. What are the progress after an operation like this? Could I be doing to much walking, climbing stairs and hilly roads, I am swimming also as I think sea water is good.
Email me please about the answer

(peripheral vascular bypass )

Thanks
Carmeline
Peggy
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Aug 29, 2012 @ 5:17 pm
I had peripheral bypass April this year. Everything seems to be doing ok but I still have pain around the incision sites even though they healed well. My problem other than the pain is I sometimes feel as if something is dripping on my leg below the scar. It feel cool and wet, but when I check there is no dripping. What can cause this? It happens periodically--when I stand or walk. Anyone got an answer?
Janette
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Oct 12, 2012 @ 3:15 pm
6 yrs ago my husband had a complete aorto dissection.It threw a blood clot that shut off of the blood on his right leg. He had a fem to fem to correct this. He is now having stomach pains and other pains in the area. Could this be causing a problem now?
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Oct 24, 2012 @ 12:00 am
This information is indeed helpful and addresses my PAD problem. I am going in for the bypass surgery on 10/29/2012 less than a week away. The angioplasty procedure would not resolve the blockage according to what the surgeon showed my wife and me. I have severe calcified blockage in 3 places in my right leg. I waited too long and endured the severe calf and thigh pain thinking it would work itself out (go away)thet proved to be a mistake. Why aren't the links and responses visible??
margaret henrick
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Nov 4, 2012 @ 10:10 am
had operation march 2012, still have pronounced swelling in groin and stomach which is very uncomfortable. Operation was from chest, bypass down through stomach into groin. How long before this swelling goes down?
sandi
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Jan 27, 2013 @ 12:12 pm
Its been 20 years since my fem-pop surgery. Recently, I have had pain in my leg and they go numb after activity. I use trental.
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Feb 1, 2013 @ 2:14 pm
I have had 2 bypasses done on my right leg and they both have blocked ,Consultant has told me there is no more they can do .I am going for a second opinion on monday to see if they can do any more for me ,or to find out if there is anything new they can do for me please help
Joan Shaffer
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Mar 14, 2013 @ 1:01 am
How can I read the answers to the above questions?
Wally Adams
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Mar 16, 2013 @ 11:23 pm
My right foot was becoming numb, was becoming 'discolored' and was told I needed a Vein Bypass Had Vein Bypass in my right leg 12/2009.
There was no appreciable relief from the operation, and again, my right foot is always 'half asleep' and is dark colored when I get up in the morning.
Is there any recourse for failed operations? My insurance and I paid a substantial sum for this!
PRECIOUS
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Mar 23, 2013 @ 5:05 am
My mouth is full of testimonies, Am miss PRECIOUS E my husband left the home for two years to south Africa for a tourist, where he meant this prostitute and he was bewitch by the girl my husband refuse to come back home again, i cry day and night looking for who to help me, i read a news paper about a powerful spell caster called Dr Abulu and i contacted the spell caster to help me get my lover back to me and he ask me not to worry about it that the gods we fight for me.. he told me by mid-night when all the spirit is at rest he will cast a spell to reunite my lover back to me. and he did in less than 3 days my husband came back to me and started crying that i should for forgive him, i,m so happy for what this spell caster did for me and my husband.. Dr Abulu of abuluspiritualtemple@yahoo.com
Julie
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Apr 3, 2013 @ 2:14 pm
I had a fem-pop done on my left leg on 12-21-2011 and went back to work that 03-2012 I'm a transporter at my local hospital. Last week I was in my yard pulling weeds from my flower bed I felt like something torn in my leg but no pain. I keep a check on the color and pulse in my leg but today I'm having pain in my leg what should I do to see if I did tare something? Or what should I look for?
Paul
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Apr 14, 2013 @ 6:18 pm
Thanks for this artical it was good reading. I had this surgury done 2 clots removed from right leg. 1 from the left they also found 2 areas with 100% blockage. I was cut open on both sides of grion and from my left knee almost to my ankle I did have a bypass but rather they used a balloon to clean it out surgury went from 3 hrs Max to 9 very concerning to my family. Question is I had this done in Jan. 2013. I know have tingling in my feet and more my toes. My doc. Says this will go away it is because my toes are now getting blood flow something theft went with out for long time. My feet were gray by the time I had surgury. Its been 4 months. Did any else have this? Will it go away about how long? If nothing else it got me to quit smoking after 40yrs. Something the 5 hearts attacks didn't. Thanks for any help.
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Jun 15, 2013 @ 5:05 am
I had the PVB operation after suffering walking numbness in the buttocks and rest pain in the middle of the night,my left leg went completely numb until i got out of bed and tried to get some circulation back.
My operation cured the rest pain for now,but i can not walk any great distance,the Surgeon told me that my operation was a salvage operation but when I tell him that my walking is very limited without numbness in the buttocks and my feet soles are numb after the operation(but was OK before the operation) the surgeon seems uninterested to investigate any further to help.
I only wished I had gone sooner to the Doctor at the first signs of the disease but I was working and based abroad at that time until I had to give up my very well paid job, and a job I loved because I just could not stand the pain in my legs any more.So for me the PVB operation helped rest pain,but as i can not walk any great distance i am fighting weight problems even though my food intake is small because the circulation in my legs is very poor.
Mike
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Jul 15, 2013 @ 11:11 am
I had aorta bi femoral bypass surgery performed in March 2013. I am so pleased with the results. I was unable to climb stairs much less walk any distance. My artery was 100% occluded. Since I have had my surgery, I am able to walk 2-3 miles per day and feel better than I have in years.
Karen
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Jul 24, 2013 @ 10:22 pm
Mike - I had this in December 2010 and I am so miserable! My legs are in constant agony and I seem to only be getting worse! Any suggestions?
Carolyn
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Aug 6, 2013 @ 2:02 am
Can someone please tell me who the author is so that I can reference this article in an assignment?
Linda Bakke
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Aug 12, 2013 @ 4:16 pm
Is it true that the synthec vein will only be good for one year? My friend has had to have 2 bypass surgery and he ended up with a infection (twice) and now they are saying that the artery only lasts up to a year and they can't do more surgery because they don't think he can get off blood thinners long enough and the surgery would be to much for him. If that is the case how if the vein fails he would lose his leg and they would have to do surgery for that but can't replace the vein.
evelyn williams
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Mar 19, 2014 @ 8:20 pm
where are the answers to these questions. than you, very interesting article. thanks again.
leah
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May 4, 2014 @ 8:20 pm
today is 5/4/14 like to know if you are still having any problems. i had surgery 3-11-14 and still have the same problem. thank you linda
margaret davis
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May 14, 2014 @ 5:05 am
Have had aorta bifemoral bypass five weeks ago. Still feel nauseous. When can I start exercising???
akshay
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Jun 5, 2014 @ 8:08 am
Why is that periodical feeling of wetness and coolness in lower limb of my mother's left leg? Whereas, actually there is no any sort of dripping on check.Any suggestion please!
nadine
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Jun 22, 2014 @ 1:01 am
IAM GOING TO HAVE A FEM POP JUNE 23, 2014. I AM SCARED. MY RIGHT LEG HURTS SO MUCH MY LFOOT IS SO RED. I HAVE HAD MY NECK DONE DUE TO 90% BLOCKED CARODID ARTERY. I WILL LET YOU ALL KNOW THE OUTCOME.
THANKS,
NADINE
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Jul 14, 2014 @ 3:15 pm
I had aortal bifemeral bypass on 4/7/14. I recovered to a point, but now seem to have stalled. Still can't sit upright comfortably, although I have progressed to walking a mile or more a day. I continue to do the exercises that PT taught me and try to increase my performance level daily. I no longer sense improvement. I am definitely better than I was prior to surgery with respect to walking, but my energy levels remain low, I am still stiff in my abdomen with occasional shooting pains. I jokingly claim that there is an alien living in my belly and he occasionally pokes me just to get even!

I would appreciate feedback to assure myself that all of this is normal and will eventually fade.

thanks
bob
suzyn Hewitt
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Aug 7, 2014 @ 11:11 am
Yes I have this and had surgery some 3 years ago as well as 2 stents. I know smoking is the devil however, I do smoke and can't seem to quit. A contributing factor would be that I had a job for the last 18 years working nights until 3:30 a.m. as well as standing for 9 hours a night. After surgery I thought that I would get relief - which I did somewhat but walking is hard must stop after a block or so rest it and then keep going. I do exercise (swim) which is easier on the leg abnd have started taking nitric oxide NO3 and hope this will help as I refuse to use wheelchair or scooter - I am tough enough to endure the pain and also a matter of pride I will not succumb. Mr Dr. Guzman of St. Boniface Hospital in Winnipeg, Manitoba is top notch but now my body has to listen to what I want - I can live with the scar but I cannot live without walking. All the best to everyone. If anyone else has tried this for PAD let me know. There has to be some good news out there.
larry buckman
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Oct 6, 2014 @ 6:18 pm
I'm. 62 when bypass on both legs and ill have it done again I want to walk quit smoking over 3 years still some blocking. Wish me luck
roas
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Oct 19, 2014 @ 1:13 pm
I had the bypass surgery done in aug it been a couple weeks mty pain is back but in the shinn area and my toes go numb it alittle different this time I dont want another surgery wat could it be I had artery in my neck done in april I had two strokes in feb
Russ
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Oct 25, 2014 @ 7:07 am
Had bypass on leg in june can't feel knee to foot front part of leg, is there any legal action I can take.
Thanks
sabrina
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Nov 21, 2014 @ 7:19 pm
Hi all I will never forget the help of DR Olokum do to me in my married life. I have been married for 4 years and my husband and I love each other dearly. after 3 years of our marriage my husband suddenly change he was having an affair with a woman outside, I realize that time I was praying for divine intervention thing became more serious I told my pastor about We prayed but nothing happened. My husband just came home one day to pick up and me and the guys went to her lover was at this point I was confused about what to do again because I lost my husband and my marriage too. I was checking my emails in the office when I saw someone share their testimony of how Dr Olokum help with her marital problems so I contacted the email jayema priest told him my problem and told me to be assured that i have come to the right place that I fill out some information about my self I did after 30 unless he called me again congratulating me that my problems are solved within 48 hours. told me what went wrong with my husband and how happen.that that my marriage will be restored but will make a donation to the orphanage loose anything home my heart told me. to my great surprise my husband came to my office on her knees begging that I should find a place in my heart to forgive him, I ask him quickly that I have forgiven him.friends not appropriate, why it is not very difficult DR Olokum work try giving surprises because I also bring back her husband. contact him through LAVENDERLOVESPELL@YAHOO.COM
david eric
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Nov 23, 2014 @ 3:03 am
I am David Eric,I want to say thank to dr.trust for everything he did in my life. To everyone who doesn't believe in spell, I was one like you at first. I wasn't quite sure if I wanted to do this since I've tried others so-called spells casters and they did not work and was a waste of my time and money. However, when I read so many testimonials of dr.tust how he help people to get back their ex lover. dr.tust answered all my questions and was very nice about everything, I decided to give it a try. I figured it would be my last try to get my ex girlfriend back. i email dr.trust and tell him everything.he let me know which spells would be most appropriate for me and I chose the one that was to get her back to me and stay with me and to marry me.As soon as he finish the spells, my girlfriend came back into my life! It was a miracle to me and I’m so thankful to him, that is why i am sharing this testimony to those who need his help. Things have been going well, and pretty much according to what dr.trust said would happen. I’m very happy for the love spell dr.trust have done for me, my ex girlfriend is now back to me and we are living so happy. if you asked me or my friends if I would have anticipated how things were right now…no one would believe it! contact is email address (ultimatespellcast@yahoo.com or ultimatespellcast@gmail.com tell +2348156885231)
david eric
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Nov 23, 2014 @ 3:03 am
I am David Eric,I want to say thank to dr.trust for everything he did in my life. To everyone who doesn't believe in spell, I was one like you at first. I wasn't quite sure if I wanted to do this since I've tried others so-called spells casters and they did not work and was a waste of my time and money. However, when I read so many testimonials of dr.tust how he help people to get back their ex lover. dr.tust answered all my questions and was very nice about everything, I decided to give it a try. I figured it would be my last try to get my ex girlfriend back. i email dr.trust and tell him everything.he let me know which spells would be most appropriate for me and I chose the one that was to get her back to me and stay with me and to marry me.As soon as he finish the spells, my girlfriend came back into my life! It was a miracle to me and I’m so thankful to him, that is why i am sharing this testimony to those who need his help. Things have been going well, and pretty much according to what dr.trust said would happen. I’m very happy for the love spell dr.trust have done for me, my ex girlfriend is now back to me and we are living so happy. if you asked me or my friends if I would have anticipated how things were right now…no one would believe it! contact is email address (ultimatespellcast@yahoo.com or ultimatespellcast@gmail.com tell +2348156885231)
david eric
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Nov 23, 2014 @ 3:03 am
I am David Eric,I want to say thank to dr.trust for everything he did in my life. To everyone who doesn't believe in spell, I was one like you at first. I wasn't quite sure if I wanted to do this since I've tried others so-called spells casters and they did not work and was a waste of my time and money. However, when I read so many testimonials of dr.tust how he help people to get back their ex lover. dr.tust answered all my questions and was very nice about everything, I decided to give it a try. I figured it would be my last try to get my ex girlfriend back. i email dr.trust and tell him everything.he let me know which spells would be most appropriate for me and I chose the one that was to get her back to me and stay with me and to marry me.As soon as he finish the spells, my girlfriend came back into my life! It was a miracle to me and I’m so thankful to him, that is why i am sharing this testimony to those who need his help. Things have been going well, and pretty much according to what dr.trust said would happen. I’m very happy for the love spell dr.trust have done for me, my ex girlfriend is now back to me and we are living so happy. if you asked me or my friends if I would have anticipated how things were right now…no one would believe it! contact is email address (ultimatespellcast@yahoo.com or ultimatespellcast@gmail.com tell +2348156885231)

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