Femoral Popliteal Bypass

A femoral popliteal bypass surgery is a surgery to go around (bypass) a blocked artery in the leg by using a blood vessel or a graft. Arteries are very important. They carry oxygen and nutrients to the body. The femoral artery is in the upper part of the leg (thigh). It is the main artery that carries blood to the leg. Popliteal arteries are in the back of the knee. These arteries take blood to the lower part of the leg.

LET YOUR CAREGIVER KNOW ABOUT:

  • Any allergies to medications, food or latex.

  • All medications you are taking, including:

  • All prescription medicines.

  • Over the counter medicines.

  • Topical skin creams.

  • Eye-drops, vitamins or herbs.

  • Previous problems with anesthesia or numbing medicine.

  • Problems with your heart, lungs or kidneys.

  • Any history of blood clots or bleeding problems.

  • Previous surgery.

  • Other health problems.

  • Possibility of pregnancy, if possible.

RISKS AND COMPLICATIONS

Problems after surgery (complications) can occur. Possibilities include:

  • Bleeding.

  • Loss of pulses in your surgical leg due to a blood clot.

  • Blood clot in the graft site.

  • Failure of the graft.

  • Infection.

BEFORE THE PROCEDURE

  • A medical history and physical exam will be done. Other tests may include:

  • Blood tests.

  • A test to check the heart's rhythm (electrocardiogram).

  • A test to look inside your arteries, to see how the blood is flowing (angiogram). To do this, a dye is injected into your blood. Then X-rays are taken.

  • You may need to be admitted to the hospital the day before your surgery.

  • You should have nothing by mouth (NPO) starting at 12 midnight the day of your surgery.

PROCEDURE

The surgeon will bypass the blocked section of your artery. By bypassing the blocked area of the artery, blood flow is restored to the lower part of your leg. A bypass is done in one of two ways using either:

  • A blood vessel called the Saphenous vein.

  • A man made (synthetic) graft.

AFTER THE PROCEDURE

  • You will stay in a recovery area until the anesthesia has worn off. Your blood pressure and pulse will be checked. After the recovery room, you may be taken to the intensive care unit (ICU).

  • You will be given pain medicine to keep you comfortable.

  • You may have ice packs over the surgical area. This can help reduce swelling and pain.

  • Your surgical site will be checked often after your surgery. This is to make sure you have good blood flow in your leg.

  • Caregivers will feel for a heartbeat (pulse) on your foot. Your leg will also be checked for changes in color, temperature or for decreased sensation.

  • To prevent blood clots in your legs, you will begin activity a few hours after your surgery.

  • You may stay in the ICU for less than a day. From there, you will go to a regular hospital room.

  • When it is time for you to go home, you will be given discharge instructions. You will be shown how to care for your incisions. Ask when your incision site can get wet.