Aorto-Bifemoral Bypass Flashcards
What is an Aorto-Bifemoral Bypass?
Surgical procedure to divert blood around an occluded aorta and/or iliac arteries (usually at bifurcations)
True of False: An Aorto-Bifemoral Bypass uses an artificial graft to complete the bypass?
True
When is an Aorto-Bifemoral Bypass done for a patient?
As a last ditch effort to save the lower limb from Peripheral Vascular Disease
What is Patient Positioning for an Aorto-Bifemoral Bypass?
Supine with Bilateral Arms tucked
How much of the patient’s skin is prepped for an Aorto-Bifemoral Bypass?
From Nipples to Knees
What is the very first step during an Aorto-Bifemoral Bypass?
Arteriogram to confirm location of the occlusion
Where is the skin incision made for an Aorto-Bifemoral Bypass?
From the Xyphoid to the Pubis (Median laparotomy)
Why is exposure of the Aorta done in the Retroperitoneum?
To avoid the Bowels
When is Heparin administered during an Aorto-Bifemoral Bypass?
5000 mL of Heparin BEFORE clamping the aorta
What type of clamp is used to clamp the distal and proximal ends of the aorta?
Fogarty Hydragrip Clamp
What technique is used to attach the graft to the aorta during an Aorto-Bifemoral Bypass?
End-to-side anastomosis using the parachute technique
What suture is used to connect the graft to the aorta?
3-0 Prolene
-Parachute technique
What must be done before doing the distal anastomosis during an Aorto-Bifemoral Bypass?
Allow back-bleeding to flush graft
What technique is used to attach the graft to the Femoral Arteries during an Aorto-Bifemoral Bypass?
End-to-side anastomosis using the parachute technique
What suture is used to connect the graft to the Femoral Artery?
5-0 Prolene (C1 Needle)
-Parachute technique
