Doctor insights on:
Iliofemoral Bypass Graft
Good results: CABG surgery has good long term results. You can expect to live longer, have less cardiac interventions, and relief from angina. The lima graft has >90% patency at 20 years. The radial artery graft about 70% at 10 years and vein grafts 50% at 10 years. About 10% of patients need a redo operation at 10 years. ...Read more
Follow up: YOU don't "treat" this, it is the result of an operation. In general if the graft is successful and wounds heal it should last for years. Most surgeons recommend periodic follow up every 6-12 months with studies to be sure there are no problems. Sometimes prolonged sitting or bending t the waste can cause the graft to kink but that is unusual ...Read more
Aorta-coronary bypasses can become occluded or narrow over time.
Do not smoke
take your aspirin
take your statin
cardiovascular exercize and weight control are important
regular follow up is a part of the better health pattern
see american heart guidelines. ...Read more
How long does it take to become concious after coronary bypass graft surgery (the surgery duration was 6 hours. Please give a range of time)?
Just had a venus bypass graft in my leg 2 weeks ago but my leg is still swelling so need to know if this is normal or is it a sign it hasn't worked?
Not unexpected: Removing one of the veins in your leg can cause some swelling. This is usually limited and resolves after several weeks, but can persist. ...Read more
Just had a venus bypass graft in my leg 2 weeks ago but it's still swelling up so I was wandering if this is normal or is it a bad sign of failure?
If u mean CABG: CABG is used in pts with severe multivessel disease, highly complex blockages that are not amenable to angioplasty, pts with weak hearts and multivessel disease especially diabetics, pts with blockages that need a valve replaced or repaired. These are just few reasons. All pts need to be treated as a unique case with all the risks vs benefits evaluated prior to any procedure bing done. ...Read more
Just had a venus bypass graft in mt right leg, wandering roughy what the success rate is for these kind of procedures, only had it done 3 days ago! Mat?
Carefully: The distal end of the internal mammary artery is anastomosed to the coronary artery distal to the atheromatous plaque using 8-0 polypropilene and high power magnification. Radial artery or grater saphenous vein grafts are anastomosed to the ascending aorta and tho the coronary distal to the plaque. Obviously the thorax has to be entered and cardiopulmonary bypass may or not be used, . ...Read more
Why is the cut made in one's leg to remove a vein for a coronary bypass graft not completely healed?
Treat blocksges: The heart has 3 main arteries that supply its needed blood flow. When blockages in these arteries form then chest pain, shortness of breath, and heart attacks can occur. Coronary artery bypass is 1 method of treatment. Veins and arteries are used to go around the blockages. These are sewn in before and after the blockages in essence "bypassing" the blockages. ...Read more
Depends on country: The specific cost of operations vary with the country, city, hospital, surgeons. Actual cost is multifactorial. Ask your hospital. ...Read more
CAD: Coronary artery bypass graft surgery is generally recommended for those that have severe coronary artery disease (cad). This is commonly referred to as "blockages" in the arteries that supply blood to the heart muscle. While many blockages are treated with stents, extensive, complex or particular high grade lesion may be safer and achieve better results if corrected by a surgical approach. ...Read more
Coronary bypass: What is your specific question about bypass surgery? ...Read more
Without knowing: The specifics of your situation, and if this is not an urgent situation, and you don't know what to think or do, to go back to your cardiologist and ask more questions. If still, you don't know, ask for a second opinion or talk to the cardiothoracic surgeon. ...Read more
I have been advised by my cardiologist for a coronary artery bypass graft surgery? Are there an alternative treatment?
Get a 2 nd opinion: If you are in doubt, seek a second opinion from a different cardiologist. ...Read more
No: They were tried in the 1960s - they failed. ...Read more
Multifactorial: Average lifespan of a saphenous vein graft is 7-8 years. 50% open in 10 years. Of an artery usually internal mammary 90% at 10 years. Above depend on severity of disease, surgeon technique and skills, morbidities associated with the patient, quality of the graft, quality of follow up, rehabilitation process, changes in life style, patient responsibility with care. ...Read more
Dr. Scott bolhack, why do vains, which normally do not develop it, develop atherosclerosis once they are grafted. (in a coronary bypass, for example)?
Clarification Issue: Arteries constantly sustain stretching and relaxing force/movement with each heart beat, i.e. The pulse. This movement of the endothelial structure facilitates movement of low density lipoprotein particles, sugars and other small atherosclerosis promoting particles & molecules through the intercellular spaces between the endothelial cells. Optimizing drivers is more important for vein grafts. ...Read more
Vein vs. Symthetic: Typically natural bypass grafts are your own vein or artery. It is also possible to use cryopreserved vein or artery from a cadaver (less common but an option). Synthetic grafts are made either or gore-tex /ptfe or woven polyester (dacron). The natural grafts are less likely to clot when there is poor circulation and they are less prone to infection. ...Read more
I'm 29 and 2 weeks ago I had a venus bypass crossover graft in my leg that had severely bad blood flow, I need to know of i'd b ok going bk to the gym?
Recent surgery: This question should only be answered by the surgeon who performed the procedure. ...Read more