Aortofemoral bifurcation alloshunting (AFBA)
Aortofemoral bifurcation alloshunting (AFBA) is a surgical operation to restore blood flow in the aortoiliac segment of the arteries of the lower extremities by installing an artificial vessel (implant, grafts) between the femoral arteries and the aorta. The operation is aimed at restoring blood circulation in the lower extremities.
Indications for AFBA surgery
The main indication for AFBA is narrowing of the lumen to complete blockage of the aorta and iliac arteries (Lerish syndrome).
Aortofemoral shunting is one of the most effective surgical interventions, which allows to restore arterial blood flow and prevent critical circulatory disorders in the arteries of the lower extremities, as well as its most serious consequence - limb amputation.
Features of the operation
Aortofemoral shunting is a technically complex operation that involves prior hospitalization of the patient. Diagnosis includes a number of instrumental and laboratory tests prescribed by a doctor after examination and history taking. The operation involves the creation of a bypass of blood flow through a special artificial vessel that connects with the patient's artery above and below the occluded area.
The prosthesis can be located parallel to the affected artery (shunting) or replace the vessel (full prosthesis). The surgical access is performed through the mid and lateral line of the abdomen and inguinal incision, where the prosthesis joins the femoral artery.
In the case of occlusion of the femoral arteries on both sides, a bifurcated implant of λ-shape is used. The upper part is sutured to the aorta (above the site of obstruction), and the two lower branches - to the iliac arteries. Surgical accesses: two incisions in the groin, and one - in the center or on the lateral line of the abdomen. Anesthesia - general anesthesia or epidural anesthesia.
Possible complications
The complexity of aortobifemoral shunting depends on the degree of changes in the walls of the arteries. The higher the degree of vascular damage - the greater the surgeon's effort required to restore blood flow. The task of the specialist is to avoid injury to surrounding tissues, nerves, and organs.
Negative consequences that may occasionally develop immediately after surgery include: swelling of the extremities, numbness in the area of incisions, bleeding, decompensation of existing chronic diseases of the heart, kidneys, liver, and other organs. In the long term: re-occlusion of the shunt, the formation of false aneurysms (enlargement of anastomoses), graft infection. At the Dobrobut clinic, doctors carefully plan each operation, anticipating possible complications and taking effective measures to prevent or correct them. We use the best implants and consumables, which is one of the guarantees of successful prosthesis implantation.
Rehabilitation
The patient is allowed to get up the day after surgery for aortic bifurcation shunting, discharge - on the seventh day, and the sutures are removed in 2 weeks. The survival rate of the prosthesis is 95%, the service life is more than 10 years.
The patient should lead a healthy lifestyle to reduce the risk of clogged arteries. To prevent atherosclerosis, drug therapy, lifestyle adjustments, smoking cessation, diet, and exercise therapy are used.
Advantages of surgery in the clinic "Dobrobut"
Dobrobut Clinic uses advanced operating technologies in Kyiv. Rapid recovery, efficiency, safety, and quality of life are the main goals of treatment. We guarantee:
- accurate diagnosis;
- reasonable choice of treatment method;
- use of advanced techniques in surgery and therapy;
- constant communication with specialists;
- constant monitoring of the patient by medical staff after the operation.
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