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Dr. Natasha
Dr. Natasha, Doctor
Category: Medical
Satisfied Customers: 12910
Experience:  American Board Certified in Emergency Medicine, Ivy League trained
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I had aortobifemoral bypass to both legs but have no pulse

Customer Question

I had aortobifemoral bypass to both legs but have no pulse in my left groin or the rest of my leg how can they sort this does it mean another graft been put in
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. Sohaib replied 4 years ago.

Hello and thank you for the question.
Answers given are for informational purposes only and are not meant to replace an exam by an in-person.

I am Dr. Sohaib, a practicing Internal Medicine Specialist and i will do my best to help you today.

 

This would require a re-evaluation first by the vascular surgeon.

 

A clinical examination.

 

Then the tests including Doppler Ultrsound of the Arteries of the limb (to determine the flow of blood along with any abnormalities in it).

 

More sensitive test, the Angiogram. This will give the exact answer regarding the management plan.

 

This may not necessarily require grafting. May be the surgeon places a sten in the blood vessel and that restores the blood flow.

 

You can read more about the stent by clicking the link below;

 

http://www.nlm.nih.gov/medlineplus/ency/article/002303.htm

 

And if this does not help, then grafting would be required.

 

I hope this clarifies and answers you.

 

Kindest Regards XXXXX XXXXX

 

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If you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.

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Expert:  Dr. Natasha replied 4 years ago.

Hi
I have some additional information.
The aortofemoral bypass graft is an upside down Y.
You cannot stent this type of graft.
You need to do a graft revision.
If you do not have pulses, they will need to do an angiogram and determine which area needs to be redone.
Usually they do a femorofemoral bypass.

 

http://www.jvascsurg.org/article/S0741-5214%2894%2970010-9/abstract


Thank you for your question.
Good luck!