During femorotibial bypass, blood is rerouted from
the femoral artery to the tibial artery. Either a synthetic graft or the
saphenous vein in the leg is used for bypass.
Also
Known As:
Femoral
artery surgery
- Blood
rerouting
- Tibial artery
surgery
- Infrainguinal
arterial bypass
- Femorotibial
reconstruction
Conditions
Treated with Femorotibial Bypass:
Femorotibial bypass is performed in patients with
severe peripheral artery disease, as well as in cases of atherosclerosis,
coronary artery disease, ischemic leg pain at rest and risk of limb amputation.
There are no comparable non-surgical alternatives to
femorotibial bypass. Limb amputation is a surgical alternative to the
procedure.
Anesthesia
with Femorotibial Bypass:
Femorotibial bypass is performed under general
anesthesia, which means that the patient is asleep and completely unaware
during the procedure.
Potential
Complications from Femorotibial Bypass:
Possible risks following femorotibial bypass include
embolism, blood clots, infection, nerve injury, bleeding and a negative
reaction to the anesthesia. It is also possible to experience a failed graft,
altered blood pressure and continued vessel blockage.
Prognosis
after Femorotibial Bypass:
The prognosis for a positive end result following
femorotibial bypass is fair. While pain is relieved in most cases, limb
amputation remains a possibility for patients with disease progression.
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