What is femoropopliteal disease?
The femoropopliteal artery is the most common site of disease in patients with peripheral arterial disease and presents some of the greatest challenges for interventional radiology. Many patients can be managed with medical treatment combined with supervised exercise alone.
How is femoral artery stenosis treated?
The preferred revascularization strategy for symptomatic common femoral artery stenosis is unknown. Common femoral endarterectomy has been the preferred treatment for many years, with proponents emphasizing its feasibility, safety, durability and long-term patency.
What is stenosis in the femoral artery?
Atherosclerosis can cause narrowing of any of the arteries throughout the body. This narrowing or occlusion is called stenosis, and can occur in the arteries in the (the legs), or more infrequently in the arms. When it occurs in the legs and feet, it causes a disease known as lower extremity arterial occlusive disease.
What causes femoral artery blockage?
The femoral artery is the largest artery in the thigh. It supplies oxygen-rich blood to the leg. Blockage is due to plaque buildup or atherosclerosis. Atherosclerosis in the leg arteries causes peripheral vascular disease.
What happens if the popliteal artery is blocked?
Long-term pressure on the popliteal artery can cause the artery to narrow (stenosis), causing pain and cramping with just slight activity, such as walking. In severe cases or when undiagnosed, the nerves and muscles in the leg can become damaged. Blood clots may occur in the lower leg (deep vein thrombosis).
Can the femoral artery cause pain?
Long-term narrowing or total blockage of the femoral artery can cause claudication, fatigue and painful cramping in the calf muscles when walking.
How do you unclog your femoral artery?
Femoral popliteal bypass surgery is used to treat blocked femoral artery. The femoral artery is the largest artery in the thigh. It supplies oxygen-rich blood to the leg. Blockage is due to plaque buildup or atherosclerosis.
What does Paes feel like?
Patients with PAES have history of aching pain, numbness, and tiredness or cramping in the calf when they exercise. The symptoms typically go away in three to five minutes of resting. In many cases, the pain always occurs at the same point during exercise and affects the same leg.
How is popliteal artery occlusion treated?
Thrombolytic therapy can be used to treat acute and subacute occlusions of the popliteal artery due to underlying stenosis. Thrombolytic therapy is most successful if initiated within 2 weeks after thrombosis (,6).
How to tell if you have a femoral popliteal bypass?
Tell your provider if you have any of the following: 1 Fever or chills 2 Increased pain, redness, swelling, or bleeding or other drainage from the leg incision 3 Coolness, numbness and/or tingling, or other changes in the affected leg 4 Chest pain or pressure, nausea and/or vomiting, heavy sweating, dizziness, and/or fainting More
When to use duplex ultrasound for femoral stenosis?
A peak systolic velocity ratio greater than 2 indicates stenosis greater than 50% [ 19 – 21 ]. Apart from the initial diagnosis of the location and degree of stenosis, duplex ultrasound is recommended for routine surveillance after surgical revascularization with a venous conduit at 1, 3, 6 and 12 months and then yearly thereafter [ 1, 7 ].
What causes a blockage in the femoral artery?
Femoral popliteal bypass surgery is used to treat blocked femoral artery. The femoral artery is the largest artery in the thigh. It supplies oxygen-rich blood to the leg. Blockage is due to plaque buildup or atherosclerosis. Atherosclerosis in the leg arteries causes peripheral vascular disease.