A femoralpopliteal bypass grafting procedure is （femoralpopliteal旁路移植手术）.pdf

Bilateral Femoral-Popliteal Bypass— From Supine to Prone Candice A Montgomery, CST femoral-popliteal bypass grating procedure is usually performed to treat patients who have an arterial occlusion situated in the fem- oral and/or popliteal arteries distal to the inguinal ligament.3 A he occlusion is typically caused by atherosclerosis, which pro- hibits or substantially reduces the low of oxygenated arterial blood to the lower extremities. If let untreated, this occlusion can lead to necrosis of the tissue of the lower extremities and, inevitably, amputation.3 P A T I E N T ’ S M E D I C A L H I S T O R Y he patient is a 56-year-old male, six feet tall, weighing 267 lbs. He has been a cigarette smoker for 40 years, at a rate of 20–30 cigarettes per day. He was diagnosed with type 2 diabetes mellitus approximately 16 years ago and has been treated with insulin injections for six years. P R E O P E R A T I V E D I A G N O S I S he patient has been diagnosed with peripheral vascular disease second- ary to type 2 diabetes mellitus and hyperlipidemia. He has atherosclerotic occlusion of both the right and let popliteal arteries with severe stenosis. MAY 2007 The Surgical Technologist 205 281 MAY 2007 1 CE CREDIT Preoperative exam prone under-ankle padding, and prone under- Blood pressure 115/53 shoulders, -arms and -hands padding.