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Doctor insights on: Iliofemoral Bypass Surgery

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If mra showed abi on right dorsalis pedis is zero before surgery should doctor freak out after aortic bypass surgery o again then he does a r ileofemarol thrombolectomy and a intraoperative angiogram and a r distal pop-tibial exposure then a r greater sap

If mra showed abi on right dorsalis pedis is zero before surgery should doctor freak out after aortic bypass surgery o again then he does a r ileofemarol thrombolectomy and a intraoperative angiogram and a r distal pop-tibial exposure then a r greater sap

I : I believe that you also asked this question elsewhere, so escuse me if the first part of my answer is a repeat. The ankle-brachial index (abi) is a screening test done with blood pressure cuffs and an ultrasound probe. An mra, in contrast, uses magnetic fields and injected dye to directly visualize the anatomy of the blood vessels. Therefore, while an mra might show a blocked dorsalis pedis artery, it would not be reported as showing an abi of zero. The abi tests blood pressure in the dorsalis pedis and the posterior tibial arteries and compares those measurements to blood pressures in the arms. If the pressures in the feet are significantly lower than those in the arms, and/or the patient has clinical signs of decreased blood flow to the feet, then one may decide to intervene. It sounds to me like you had no pulse in your dorsais pedis artery before your surgery, regardless of what your abi might have been. This could have happened because of chronic blockage or because of new clot that might have formed a) because of decreased flow in an already-diseased dorsalis pedis or b) because of clot that came from abnormal vessels upstream. You had an aortic bypass, so there certainly was disease upstream. It sounds to me like your surgery was a difficult one. However, it's hard to know whether your doctor was fixing problems that were caused by the surgery or whether you just had a lot of disease to begin with and he or she was trying to fix a of of problems at the same time. Unfortunately, a lot of people with bad arterial disease wind up in a wheelchair or with amputations despite the best efforts of good doctors. Still, if you think your doctor made a mistake, you should certainly talk it over with him or her and consider seeing another doctor for a second opinion. ...Read more

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Dr. Gregg Nishi
485 doctors shared insights

Bypass Surgery (Definition)

Bypass surgery is done to aid in weight loss and recovery from obesity by drastically diminishing the size and absorptive capacity of the stomach. Bypass surgery is often successful, but requires extensive follow-up with ...Read more


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O band or bypass surgery?

O band or bypass surgery?

Depends: There are several facets of the puzzle that go into this decision. You and your physician need to sit down and decide which is in your best interest. ...Read more

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How serious is bypass surgery?

How serious is bypass surgery?

Serious: But done with excellent results. How serious is not having by pass surgery if you need it? ...Read more

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What's is multiple bypass surgery?

Certainly: Bypasses are for the diseased, obstructed coronary arteries to the heart. Average 3-4 grafts per operation . More or less grafts depends on the anatomy and obstructions and coronary sizes. ...Read more

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What is the duration of bypass surgery?

What is the duration of bypass surgery?

About 3 hours: Hello pbloom -- uncomplicated heart bypass should take about 2-3 hours. ...Read more

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What are the disadvantages and advantages of triple bypass surgery?

Better outcome: Pro - in general, if you have 3 vessel coronary artery disease and require "triple bypass" surgery, you will fare better over the long run than you would with stenting or medication alone. You would have better control of angina symptoms and a lesser risk of a heart attack. Con - risks of bypass surgery, having to go through with surgery and recovery from it. In most patients, risks are small. ...Read more

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What is aneurysm bypass surgery?

Usually replace: Graft material is sewn or implanted to replace the deteriorated arterial segment-aneurysm .Occasionally bypassed and ligated in popliteal but usually endo grafted or replaced in abdomen or chest . ...Read more

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How effective is leg bypass surgery?

How effective is leg bypass surgery?

Depends: Leg bypasses are typically done when someone has pain or a non-healing wound from poor circulation. If the bypass is open then it will be effective at healing wounds and improving pain. How long bypasses work is another loaded question and depends in many factors. Some include, smoking status, is vein used as a conduit or synthetic material, is the bypass to an above or belw knee artery. ...Read more

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Triple bypass surgery survival rate?

Triple bypass surgery survival rate?

Quite high: Depends on risk factors going in! the operation itself carries good results in general, but smokers, diabetics, obese have increased risks to have the problems and to recover. ...Read more