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Standard popliteal bypass surgery involves the bypass of the popliteal artery. [5] During surgery, incisions are made depending on the location of the blockage. [3] Usually, a healthy vein is located and sewn above and below the blockage to bypass the narrowed or blocked femoral artery. [6]
For example, a femoral-popliteal bypass ("fem-pop") might be used if the femoral artery is occluded. A fem-pop bypass may refer to the above- or below-knee popliteal artery. Other anatomic descriptions of lower extremity bypasses include: "fem-fem" - femoral to femoral bypass, e.g. from right to left. Used when there is no inflow to one femoral ...
The most common access point is near the groin through the common femoral artery (CFA). Other common places are the brachial artery, radial artery, popliteal artery, dorsalis pedis, and others. There are four types of atherectomy devices: orbital, rotational, laser, and directional.
The femoral artery gives off the deep femoral artery and descends along the anteromedial part of the thigh in the femoral triangle. It enters and passes through the adductor canal , and becomes the popliteal artery as it passes through the adductor hiatus in the adductor magnus near the junction of the middle and distal thirds of the thigh.
The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle , where it branches into the anterior and posterior tibial arteries.
Cardiopulmonary bypass, a technique used in coronary artery bypass surgery. In on-pump bypass surgery, a heart-lung machine is used; in off-pump bypass surgery, the surgeon stabilizies the heart without use of the machine. [3] Weight loss or Bariatric surgery: Vertical banded gastroplasty surgery or "stomach stapling", the upper part of the ...
Peripheral artery disease (PAD), or limb ischemia, affects the femoral, popliteal, or iliac arteries. [17] PAD is caused by atherosclerotic plaques that occlude blood flow to extremities. [ 5 ] Once blood flow is impeded, ischemic muscle cells switch from aerobic to anaerobic metabolism to cope with oxygen scarcity.
It is still used today when coronary artery bypass surgery proves difficult. Livesay [3] in Texas and Nair [4] in Leeds have published the largest series in the world. A femoral endarterectomy is also frequently used as a supplement to a vein bypass graft at the sites of surgical anastomosis.