Aorto-Bifemoral Bypass Surgery in Nice
Dr. Ilya Khantalin, Vascular Surgeon in the Alpes-Maritimes
Aorto-Bifemoral Bypass
Dr. Ilya Khantalin in Nice
Aorto-bifemoral bypass surgery is a vascular surgical procedure designed to treat severe arterial diseases, particularly poor blood flow to the lower limbs. This surgery restores proper circulation by bypassing blocked segments of major arteries.
Endovascular techniques are currently the most modern and widely used approaches in vascular surgery, in line with recommendations from the French National Health Authority and integrated into standardized surgical protocols.
Vascular diseases are classified as Long-Term Conditions (Affections de Longue Durée – ALD), allowing for full coverage by the French Social Security system.
What is Aorto-Bifemoral Bypass Surgery?
Vascular Surgeon in Saint-Laurent-du-Var
The aorto-bifemoral bypass involves creating an alternate path for blood flow between the aorta, the body’s main artery, and the femoral arteries, which supply the lower limbs. This surgery is indicated when the leg arteries are severely narrowed or blocked due to atherosclerosis (fat and plaque buildup), aneurysms, or other vascular disorders.
The principle is to place a graft—either a synthetic tube or a vein harvested from the patient—between the aorta and femoral arteries, restoring blood circulation to the legs. Depending on the patient’s health and the specifics of the condition, this can be done via open surgery or a less invasive endovascular method.
Indications and Procedure for Aorto-Bifemoral Bypass
Vascular Surgery Specialist in Saint-Laurent-du-Var
Indications for Aorto-Bifemoral Bypass
- Chronic arterial insufficiency of the lower limbs: This condition reduces blood flow, causing leg pain, cramping, and ulcers, especially during walking. When conservative treatments fail, bypass surgery is considered.
- Abdominal aortic aneurysm: If an aneurysm poses a risk of rupture, a bypass may be needed to protect the lower limbs while treating the aneurysm.
- Iliac artery occlusion: Severe blockages in the iliac arteries (which supply the legs) may require a bypass if they cause limb ischemia.
- Gangrene prevention: In cases where poor circulation could lead to gangrene and limb loss, bypass surgery can restore adequate blood supply.
Surgical Procedure
The aorto-bifemoral bypass is a complex surgery requiring thorough preparation. It typically lasts 3 to 5 hours and is performed under general anesthesia.
- Surgical incisions: The surgeon makes incisions in the abdominal and upper thigh regions to access the aorta and femoral arteries.
- Graft preparation: A vein from the patient or a synthetic graft is prepared and connected between the aorta and the femoral arteries to bypass the blockage.
- Closure: Once the graft is in place, the incisions are closed and postoperative monitoring begins as the patient awakens from anesthesia.
Postoperative Care
After an aorto-bifemoral bypass, medical follow-up is essential for optimal recovery and to prevent complications.
- Hospitalization: Patients typically stay in the hospital for 5 to 7 days to monitor circulation, heart function, and detect any complications such as infections or thrombosis.
- Postoperative follow-up: Regular check-ups with the vascular surgeon include Doppler ultrasounds or CT scans to ensure the graft remains open and functional.
- Rehabilitation and physical activity: A rehabilitation program is recommended to improve blood circulation and help patients return to daily activities. Gradual walking is encouraged.
- Medication: Anticoagulants are often prescribed to prevent blood clots. It’s also important to manage blood pressure, cholesterol, and blood sugar to maintain vascular health.
- Long-term monitoring: Continuous monitoring by the vascular surgeon is essential to ensure graft function and detect any new obstructions early.
Possible Complications
Although common and effective, aorto-bifemoral bypass surgery does carry some risks:
- Infection: Rare but possible at the incision or graft site.
- Graft thrombosis: A blood clot could block the graft, requiring further intervention.
- Cardiac complications: Because the procedure is close to the heart and aorta, patients with a cardiac history may face additional risks.
Conclusion
The aorto-bifemoral bypass is a complex but effective procedure for treating severe lower-limb circulation issues. Dr. Ilya Khantalin offers this surgical solution to prevent serious complications like gangrene. If you’re experiencing symptoms of poor circulation, schedule a consultation to discuss the best treatment options. Post-surgical monitoring and rehabilitation are essential for a full recovery and long-term vascular health.
Contact Dr. Ilya Khantalin to learn more about aorto-bifemoral bypass surgery and available vascular treatments in Saint-Laurent-du-Var.