Peripheral artery bypass - leg - discharge
Peripheral artery bypass surgery is done to re-route the blood supply around a blocked artery in the leg. You had this surgery because fatty deposits in your arteries were blocking blood flow. This caused symptoms of pain and heaviness in your leg that made walking difficult. This article tells you how to take care of yourself after leaving the hospital.
Aortobifemoral bypass - discharge; Femoropopliteal - discharge; Femoral popliteal - discharge; Aorta-bifemoral bypass - discharge; Axillo-bifemoral bypass - discharge; Ilio-bifemoral bypass - discharge
When You’re in the Hospital
You had peripheral artery bypass surgery to re-route the blood supply around a blocked artery in one of your legs.
Your surgeon made an incision (cut) over the area where the artery was blocked. This may have been in your leg or groin, or the lower part of your belly. Clamps were placed over the artery at each end of the blocked section. A special tube called a graft was sewn into the artery to replace the blocked part.
You may have stayed in the intensive care unit (ICU) for 1 to 3 days after surgery. After that, you stayed in a regular hospital room.
What to Expect at Home
Your incision may be sore for several days. You should be able to walk farther now without needing to rest. Full recovery from surgery may take 6 to 8 weeks.
Walk short distances 3 to 4 times a day. Slowly increase how far you walk each time.
When you are resting, keep your leg raised above the level of your heart to prevent leg swelling:
You will have more leg swelling after walking or sitting. If you have a lot of swelling, you may be doing too much walking or sitting, or eating too much salt in your diet.
When you climb stairs, use your good leg first when you go up. Use your leg that had surgery first when you go down. Rest after taking several steps.
Your health care provider will tell you when you can drive. You may take short trips as a passenger, but try to sit in the backseat with your leg that had surgery raised up on the seat.
If your staples have been removed, you will probably have Steri-Strips (small pieces of tape) across your incision. Wear loose clothing that does not rub against your incision.
You may shower or get the incision wet, once your doctor says you can. DO NOT soak, scrub, or have the shower beat directly on them. If you have Steri-Strips, they will curl up and fall off on their own after a week.
DO NOT soak in the bath tub, a hot tub, or swimming pool. Ask your provider when you can start doing these activities again.
Your provider will tell you how often to change your dressing (bandage) and when you may stop using one. Keep your wound dry. If your incision goes to your groin, keep a dry gauze pad over it to keep it dry.
Bypass surgery does not cure the cause of the blockage in your arteries. Your arteries may become narrow again.
When to Call the Doctor
Call your health care provider if:
Bonaca MP, Creager MA. Peripheral artery diseases. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 64.
Fakhry F, Spronk S, van der Laan L, et al. Endovascular revascularization and supervised exercise for peripheral artery disease and intermittent claudication: a randomized clinical trial. JAMA. 2015;314(18):1936-1944. PMID: 26547465 www.ncbi.nlm.nih.gov/pubmed/26547465.
Gerhard-Herman MD, Gornik HL, Barrett C, et al. 2016 AHA/ACC guideline on the management of patients with lower extremity peripheral artery disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017;135:e686-e725. PMID: 27840332 www.ncbi.nlm.nih.gov/pubmed/27840332.
Kinlay S, Bhatt DL. Treatment of noncoronary obstructive vascular disease. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 66.
Review Date: 1/28/2019
Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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