Axillobifermoral Bypass

The field of modern medicine has made some impressive advances over the past few years. However, common problems remain common. Obesity, hypertension, and diabetes continue to represent some of the most commonly encountered problems in a physician’s office. When these issues are combined with smoking, they can accelerate a disease called atherosclerosis. Atherosclerosis represents a remodeling of blood vessel walls and plaque deposition, decreasing the diameter of the vessel lumen. This means that the vessels and organs on the other side of this obstruction receive less blood flow, oxygen, and nutrients. Most physicians will try to manage atherosclerosis initially using medications, dietary changes, smoking cessation, and exercise. Despite these measures, advanced disease causing tissue loss or increasing pain requires treatment from a vascular surgeon.

There are several minimally invasive procedures that can be used to treat atherosclerotic disease, such as stenting. The success of these procedures depends on the disease location and severity. If stenting is not possible or has failed on at least one occasion an open surgical procedure is necessary. In an ideal situation an aortobifemoral bypass is used. However, some patients are poor surgical candidates or have had extensive abdominal surgery. In this case, an axillobifemoral bypass is used to treat patients with atherosclerosis of their aorta. This procedure does not require an abdominal incision. This procedure is ideal for patients with extensive aortic disease because it circumvents the aorta in its entirety. The graft or plastic tube is usually attached at the axillary artery below the clavicle and tunneled along the side of the body. The graft is then sewn into the femoral artery in each groin. This new pathway around the blockage restores blood flow to the affected area and helps relieve the patient’s symptoms.

An axillobifemoral bypass mandates the attention of a highly skilled vascular surgeon. The biggest risk factors for the need for more surgery are the patient’s comorbidities and smoking status. Patients should seek the services a board-certified vascular surgeon to perform this operation. A board-certified vascular surgeon has both passed their board exams and completed a fellowship in vascular surgery. Dr. Jenna Kazil is a skilled double board-certified vascular and general surgeon in Bradenton, FL, who performs challenging operations at various local hospitals and a surgery center. Dr. Kazil realizes the circumstances that mandate the completion of an axillobifemoral bypass and performs this operation with the compassion and precision necessary to ensure a successful result. Patients requiring the services of a Bradenton board-certified vascular surgeon should contact Dr. Kazil for all of their surgical and vascular needs.

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