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Doctor insights on: Arterial Bypass

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Neuropathic pain after arterial bypass surgery on leg. Possible treatments, please?

Neuropathic  pain after arterial bypass surgery on leg.  Possible treatments, please?

Medication: Gabapentum or Lyrica (pregabalin) beneficial. Gabapentum lower side effect profile see your physician for direction. ...Read more

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Dr. Michael Gabor
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Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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How safe is arterial leg bypass?

How safe is arterial leg bypass?

Very Safe: Arterial bypass in the legs is an extremely safe operation when performed by a board-certified vascular surgeon. When you are advised to undergo leg bypass surgery your vascular surgeon will likely send you for cardiac testing to make sure your heart is strong enough for this type of surgery, as heart complications are the majority of risk with leg bypasses. Learn more at vascular.org. ...Read more

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Should my arterial stenoses be stented or bypassed?

Should my arterial stenoses be stented or bypassed?

Depends: Depends on where the stenosis is and what your overall medical issues are. Also, it depends on the condition of your blood vessels. ...Read more

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How successful is a vein bypass for lower leg arterial disease?

How successful is a vein bypass for lower leg arterial disease?

Depends on details: Vein bypasses with greater saphenous vein of high quality have generally good success. But this depends on details. You must combine a high quality operation with good wound care, especially in patients with diabetic wounds. Without good wound care and optimal medical management, some patients can still lose their leg even with an "open" bypass. ...Read more

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How risky is leg bypass surgery due to peripheral arterial disease?

How risky is leg bypass surgery due to peripheral arterial disease?

Risk vs Benefit: There is risk with all surgeries even those done with wires manipulated through the arteries (angiography/angioplasty). In experienced hands, these risks are minimal. However, pad if untreated can lead to severe pain, open ischemic ulcers, gangrene and loss of your limb. Given the choice, if you are having symptoms, then treatment is safer than waiting. ...Read more

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How dangerous can leg bypass surgery be due to peripheral arterial disease?

PVD : Patients who need arterial bypass for PVD usually have coronary artery disease, hypertension and often diabetes. This combination or individually raises the risk of any surgery. When we do PVD surgery it is usually because a limb is threatened, saving a limb is a pretty prominent benefit in most people's risk/benefit equation. ...Read more

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Is pherpheril arterial disease is likely to occur during a coronary bypass surgery?

Is pherpheril arterial disease is likely to occur during a coronary bypass surgery?

Likely present : Atherosclerosis is the overall disease which causes both coronary artery disease and peripheral arterial disease. It's certainly not unusual for a patient with one disease to also have the other simultaneously. ...Read more

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How deadly is leg bypass surgery due to peripheral arterial disease?

How deadly is leg bypass surgery due to peripheral arterial disease?

Small risk: As with all surgery, there is some risk. Your exact risk will depend on your comorbidities. ...Read more

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Can we prefer eecp treatment instead of bypass surgery for my father who is having 3 arterial blocks. He is a diabetes patient as well?

Can we prefer eecp treatment instead of bypass surgery for my father who is having 3 arterial blocks.  He is a diabetes patient as well?

Unlikely: Coronary bypass has specific indications, and risks. Depending on age, risk factors, diabetes your surgeon can give a very good opinion. In general the risks are low. ...Read more

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Will an artery that is 100% blocked be bypassed?

Will an artery that is 100% blocked be bypassed?

Not necessarily: Whether an artery needs to be bypassed or opened because it's 100% blocked depends on 1) your symptoms and 2) which artery, in particular, we are discussing. Discuss further with a board-certified vascular surgeon. ...Read more

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For what artery does minimally invasive robotic bypass best used?

For what artery does minimally invasive robotic bypass best  used?

LAD: The most common robotic operation is a lima to lad bypass graft. This is done through small incisions in left chest on a beating heart. ...Read more

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Robotic assisted cornary artery bypass sugery?

Robotic assisted cornary artery bypass sugery?

Remote surgery: Bypass surgery done through tubes or scopes in which the surgery operates by sitting at a console and operates the scopes or tubes remotely. Much less invasive in that the cutting of the sternum or breastbone is not needed. The disadvantage is that it cannot reached all areas of blockage in some patients. ...Read more

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After a bypass operation, what happens to the bypassed artery?

After a bypass operation, what happens to the bypassed artery?

Nothing: Generally the operation is done for a completely blocked artery secondary to atherosclerosis. The artery still stays in the patient and simply continues to "not function". ...Read more

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What happens to the bypassed artery and associated nerves after a bypass operation?

What happens to the bypassed artery and associated nerves after a bypass operation?

Artery atrophies: Typically the bypassed artery has no blood flow (hence the need for a bypass) and simply atrophies / scars down. The nerves are preserved and should not be affected by a bypass. The nerves in the skin which are cut during the procedure and cause skin numbness may improve over a six month period. Any numbness after 6 months is unlikely to get any better. ...Read more

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Following a bypass operation, what happens to the bypassed artery and associated nerves?

The nerves will: remain intact if not severed or disconnected from their own blood supply. The artery will wither undergo atresia or remain functional and become part of the collateral circulation. Hope this helps. ...Read more

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What's a coronary artery bypass?

Surgical operation: This operation uses arteries and veins as bypass grafts to bring blood into the coronary arteries beyond blockages and keep the heart muscle well supplied with blood. ...Read more

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What is "endartenetomy" in coronary artery bypass?

What is "endartenetomy" in coronary artery bypass?

Endarterectomy : Endarterectomy refers to a procedure wherein a surgical plane of resection of the inner lining of a diffuse narrowed blood vessel is undertaken. This improves the blood flow. Because of the diffuse involvement however there is a greater risk of recurrent narrowings there. ...Read more

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Can there be a removal of defective artery in bypass surgery?

Can there be a removal of defective artery in bypass surgery?

Not usually: The detour- bypass principle leaves the obstructed coronary in place while using internal thoracic artery from chest wall, and veins to be the conduits. Would be bloody to remove. Some diseased or infected plastic grafts are removed. ...Read more

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How effective is a robotic assisted cornary artery bypass sugery?

How effective is a robotic assisted cornary artery bypass sugery?

Depends: Both on the disease and on the surgeon -- trained surgeons have excellent result with bypass to the lad. ...Read more

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Can you tell me about redoing of a coronary arterial bipass graft and what is it like?

Can you tell me about redoing of a coronary arterial bipass graft and what is it like?

CABG: Redo of a coronary bypass is similar to the original surgery the diagnostic testing and the surgical procedures and hospitalization/recovery are all similar to the original bypass. ...Read more