PROCEDURES

Vascular and Vein have photographed several procedures to educate patients on the different surgeries. Please be advised that the surgery photographs are graphic in nature and may not be suitable for all visitors.

Abdominal Aortic Aneurysm Repair

This patient had a 6 cm abdominal aortic aneurysm. As is the case 30% of the time, he required open abdominal aortic aneurysm repair with aortobifemoral bypass rather than endoluminal abdominal aortic aneurysm repair (EVAR) due to anatomic features.

Femoral Popliteal Bypass Revision

This patient had a bypass narrowing (stenosis) detected by surveillance ultrasound. Left unchecked this could have resulted in preventable bypass failure. Graft stenosis are treated surgically or endoluminally (with a balloon). His bypass required a surgical patch.

Femoral Popliteal With Graft

This patient had painful cramping in his calf, due to occlusion of his superficial femoral artery. Due to severe varicose veins, a prosthetic Gore-Tex graft was used for the conduit.

Carotid Endarterctomy

This is a patient with carotid stenosis who had an episode of right hand weakness, and ultrasound revealed 80% left carotid stenosis. The surgery was performed to prevent stroke which occurs if further debris breaks off and travels to his brain.

Femoral Tibial Bypass With Saphenous Vein

Due to severe, long segment blockages resulting in numbness in the foot, this patient required a longer bypass than most – from the groin to the lower calf. The blockages in the artery were bypassed with his saphenous vein.

Arteriovenous Graft For Dialysis

As is the case in about 25% or patients, this patients had no suitable vein for dialysis access. A Gore-Tex graft was placed for peripheral dialysis access.

Axillobifemoral Bypass

This patient had cramping of his feet while sleeping at night due to severe blockages of the iliac arteries of the pelvis, requiring a bypass to the legs. Because of multiple abdominal surgeries, advanced age, and anatomical features, the graft originates in the axillary artery in the chest rather than off the aorta.

Transposition of Cephalic Vein Fistula

Due to deep veins, this woman after a successful fistula required the fistula vein be mobilized and brought closer to the skin to be reliably accessed.