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All,

Please excuse my ignorance as an expert on vascular surgery I am not.

A new patient presented today who during the inital history taking explained she had recently undergone surgery in which vessels had been grafted into her abdomen and legs (what she described sounded like replacement iliacs + femoral arteries) in order to save her legs from amputation??? Her sister had already undergone bilateral amputation.

Can anyone give details on this procedure please? Forces and moments I know, this kinda stuff and I'm all at sea again.

Craig, is this CPD in action or what?:) It's very easy reading about the things we like, but we should really read about the things we don't- note to self: read more on PVD

 

Sounds like a fem-ped bypass. Arterial disease in diabetes has a tendency to more severely affect the tibial vessels (comapred to non-DM PVD) and spare the foot vessels, so a bypass from the femoral artery to the foot is being done with increasing frequency and increasing success.

 

My hero. Looked pretty good to me. One slightly suspect looking area on the tip of the hallux though- seeing vascular surgeon on Monday! She also smelt of fags (cigarettes) which I thought was a nice touch.

Can you give any more detail on procedure please?

 

I haven't checked them all out, but there should be something in the presentations that LL linked to in this thread on: Diabetic Limb Salvage - Online presentations and surgical cases

 

I just went through the list of presentations and the one by Gary Gibbons on revascularisation is excellent (based on my speed scroll through the video)! ....I will show the students it next year!

I loved this picture he used in an early slide: