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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]
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.
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 ...
An occlusion of the artery would be seen by decreased or absent flow distal to the occlusion. Doppler ultrasound can even distinguish between embolic and thrombotic plaque. The former would show a delineated, round thrombus, whereas the latter would show narrowed arterial lumen with atherosclerotic plaque.
The popliteal artery entrapment syndrome (PAES) is an uncommon pathology that occurs when the popliteal artery is compressed by the surrounding popliteal fossa myofascial structures. [1] This results in claudication and chronic leg ischemia .
Peripheral artery disease most commonly affects the legs, but other arteries may also be involved, such as those of the arms, neck, or kidneys. [4] [17] Peripheral artery disease (PAD) is a form of peripheral vascular disease. Vascular refers to both the arteries and veins within the body. PAD differs from peripheral veinous disease. PAD means ...
The location of the pain is a clue on which artery’s involved—if it’s the hips and the buttocks, think lower aorta or iliac, if it’s the thigh, think iliac or common femoral artery, for the upper ⅔ of the calf, the superficial femoral artery, the lower 1/3—the popliteal artery, and finally for the foot—think tibial or peroneal artery.
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.