Peripheral Vascular Surgery In India At Affordable Low Cost
Peripheral Vascular Surgery
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 of Peripheral Vascular Bypass Surgery
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)...
Peripheral Vascular Disease
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...
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
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...
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...
How is Peripheral Artery Bypass Surgery done in India ?
Surgery to bypass a blocked leg artery can relieve your symptoms. The bypass is done with a graft, a special tube that reroutes blood around a blockage.
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...
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...
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