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.
Very. Leg bypass surgery is used to treat blocked blood flow in the leg. The bypass provides a new 'conduit' for the blood so the tissues below the blockage can get the blood needed to stay alive. Leg bypass can provide significant improvement in your ability to ambulate and prevent amputations.
No. If you are feeling claudication-like pain then I would be concerned that the bypass may be occluded.
May not be. Have graft checked to make sure still flowing.
Yes. Being thin is actually an advantage for you & your surgeon. Significant risk factors for your surgery would include: cardiac disease or coronary artery disease - angina, previous heart attack, neck artery (carotid) narrowing, smoking, empysema (COPD), high blood pressure, morbid obesity, diabetes, blood clotting problems, kidney disease, how extensive the surgery, and any active infections.
Yes, if indicated. Actually by being thin the operation is often technically easier and wound complications are less compared to an obese patient. You may, however, be able to feel the graft easier which can be concerning to some but has no impact on the safety of the procedure.
Yes. The real questions are what are your indications to have bypass surgery on the legs. Make sure that if this is not an emergency that the conservative measures have been tried. If you have exhausted those choices and you are not smoking the the bypass should be quite safe.
Sure. Your surgeon will tell you if there is a problem.
Vascular surgeon. A vascular surgeon.
Yes. Artery bypass refers to a tube (natural such as vein or artificial such as ptfe) with one end sewn to the artery upstream from the blockage and the other end downstream from the blockage. Since atherosclerosis is progressive as is diabetes, bypasses sewn further down the artery may be needed to relieve symptoms and to prevent major amputation.
Yes. Revascularization is common due to the progressive nature of peripheral vascular disease. After an original bypass, scar tissue or intimal hyperplasia forms at the proximal and distal ends of the pipe limiting flow. Ultimately this scarring may shut the bypass down requiring a "new" one. However, as the disease progresses options for further bypasses may become more limited.
Des. U should ask for drug eluting stent due to low restenosis rate but u must take antiplatelet drug at least for 1 year.
Best leg stent? That depends on the length of the stenosis. If it is short, then just angioplasty should suffice. If it is the length of your leg, then pending on how good the outflow vessels are, bypass would be a better option.
See your surgeon. It is pretty common to have an infection of the incisions after a lower extremity bypass. If the incision is red, tender and draining fluid it makes sense to see the surgeon sooner than later. Your husband may need antibiotics and should have the wound looked at to make sure there are no un-drained pockets of infection.
Seek help. Call surgeon or go to er immediately. The graft can become infected and need to be removed, in addition to the other problems with infection. Do not delay treatment!
Consider ID consult. First thing: follow everyone's advice here to go to your surgeon and seek help from them first. Second thing: an infectious diseases specialist may help your surgeon choose the most appropriate antibiotic available, and to consider potential complications that merit additional work-up or streamline diagnostics.
I am a diabetic that has already had a full leg bypass surgery to improve circulation. Now I am having tunneling in the largest wound?
Seek follow up. Wound care will be critical. Blood glucose control will help.
See wound specialist. I need more information, is this a surgical site wound or a preexisting wound? If it is a surgical site you need to also follow up with the surgeon too. If preexisting see a wound specialist. Be sure your sugars are well controlled also.