Aortobifemoral bypass surgery is a type of vascular disease bypass surgery conducted within the abdominal region by skilled surgeons. A new route (bypass) is made for blood to flow around obstructed or narrowed sections of the arteries during this open operation and as a result, the legs will obtain better blood flow.
An artificial blood vessel (graft) is inserted into the abdomen by a vascular surgeon at the location of the diseased arteries. Polyester is frequently used for the graft. The term “Aortobifemoral” refers to the arteries joining the graft; “Aorto” stands for the aorta, “Bi” indicates that the graft joins both femoral arteries, and “Femoral” refers to the femoral arteries.
The graft is shaped like an upside-down “Y.” The lower section of the abdominal aorta is joined to the top of the graft there. The femoral arteries are linked to each of the Y’s stems.
If the patient experiences significant symptoms or is at a high risk for problems due to plaque formation in the patient’s major abdominal or pelvic arteries, a surgeon may advise this procedure.
Severe aortoiliac occlusive disease is treated with aortobifemoral bypass surgery. Major arteries in the pelvis and abdomen gradually fill with plaque as a result of this illness.
The abdominal aorta and iliac arteries can become narrowed or blocked by significant plaque formation. As a result, there is not enough oxygen-rich blood available to the lower body’s organs, which include the legs, foot, and pelvic region. Complications from severe narrowing or blockages include:
Aortoiliac occlusive disease cannot be permanently cured, but symptoms can be alleviated through bypass surgery, which helps improve blood flow to the legs. This procedure can reduce the chances of experiencing the mentioned issues.
The following are possible complications of aortobifemoral bypass surgery:
Prior to surgery, it’s important to go through all potential risks with the surgical care team.
Open surgery called an aortobifemoral bypass requires an important large abdominal incision. Healthcare providers should take into account this important procedure.
Aortoiliac stenting with bifurcation reconstruction (AISBR) is a minimally invasive procedure. A stent is inserted in the blocked arteries during this type of endovascular surgery to help increase blood flow. According to certain studies, AISBR may result in a shorter hospital stay and a lower risk of surgical complications than open surgery.
The choice between open surgery and endovascular surgery is typically determined by the healthcare provider based on the patient’s individual circumstances. In the past, surgeons often opted for AISBR in cases where patients had a higher surgical risk. However, due to advancements in technology, today’s surgeons are increasingly favoring AISBR over open surgery.
If a patient is not a candidate for endovascular surgery or had endovascular surgery in the past but it wasn’t successful, they may require open surgery. Discuss the patient’s alternatives with the healthcare provider, including the advantages and disadvantages to the patient’s unique circumstances.
The patient will be instructed by the surgical care team on how to get ready for operation. The following instruction includes:
The surgical team will carry out the following procedures in order to reroute blood flow in the abdomen:
The patient will recover in the hospital for four to seven days. Throughout this period, the medical team will:
Aortoiliac occlusive disease symptoms may be lessened and the risk of complications reduced with aortobifemoral bypass surgery. Following their recovery, they receive the following advantages from this surgery:
For at least five years, 80% to 95% of procedures successfully enhance blood flow. Between 74% and 86% of operations succeed after ten years.
It can take two to three months for full healing. But within four to six weeks, they ought to be ready to resume some of their regular activities.
Incision pain may persist in the patient for a few weeks following surgery. If pain medicine is required to make the patient feel better, the healthcare provider will prescribe it. Make sure to:
If the patient experiences any of these problems while recovering, call the healthcare provider immediately:
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