Surgery to bridge the axillary artery and femoral artery

Arterial bridgeing surgery is a technique performed to create a new way of circulation for blocked blood flow caused by hematomas. In particular, axillary and femoral artery revascular surgery is considered an effective treatment for a number of chronic anemias of the lower veins.

1. Arterial Bridgeing Surgery

Nowadays, chronic dyslethmic anemia syndrome is a more and more ongoing medical condition for older patients with diseases of conversion disorders. This condition is explained by the patient experiencing diseases such as diabetes, dyslipidemia, high blood pressure … it will have the consequences of narrowing and clogging some arteries that provide blood to the veins of the body. Chronic anemia of the lower veins usually progresses slowly, from the stage of the vascular stenosis to the stage when the blood vessels are completely blocked.

Treatment regimen for dyslipidemia

Long-term dyslipidemia can cause narrowing and blockage of some arteries

The main cause of chronic arterial anemia is atherosclerosis. Atherosclerosis often leads to inflammation of the arteries in the veins, which in turn causes genuss, especially the lower veins, which should be called chronic anemia of the lower genus. Risk factors for chronic lower-dysenterial anemia include smoking, stress, people with a history of atherosclerosis, obesity, people with high blood pressure, people experiencing lipid metabolic problems in the body, people with diabetes mellitus, people with hyperuricemia … Some clinical symptoms of chronic anemia of the lower genus are :

  • Calf pain, when walking, often feels pain and tightness in the leg area, so it must stop to go on and repeat this condition called resuscitation pain, increased pain in the legs, pain in the late evening or early morning, pain even when working and resting , pain does not respond to painkillers.
  • Groin pain, when going up and down the stairs, feels pain.
  • The damaged genus is usually blue or purple and palpable colder than the other.
  • When Buerger's test was done, the patient's skin was pale when the legs were raised, then pink again when sitting down.
  • Hairs and nails in the genuse retest, even shedding.
  • The details are numb, weak.
  • The vessels in the ankles and feet catch very weakly, not even catching vessels in these areas.
  • If at a severe stage, the patient may have ulcers and necrosis in the distant parts of the genus.


Chronic anemia causes ankle and foot vessels to be very weak

Some subclinical techniques supporting the diagnosis of chronic lower alysis are:

  • Ultrasound of vascular Doppler to locate atherosclerosis blood vessels as well as the degree of blockage of blood vessels.
  • Digital ancillary ancillary scan to survey the condition of the vessel vessel.
  • Heart ultrasound
  • Coronary anesthography
  • Aortic computer ctectry
  • Aortic resonance imaging

After the clinical and sub-clinical examination has been applied, the treating doctor will determine the extent and location of the lesion, thereby selecting the appropriate treatment. Besides medical treatment with vascular relaxes, anti-freezing drugs, sympathetic inhibition ... arterial bridge surgery through a narrowed or blocked location is considered the most optimal treatment. Arterial bridgeing surgery can use materials taken from the patient themselves such as large visible veins or use artificial materials such as artificial blood vessels to form a bridge over the blocked area so that the blood flow is re-circulating.

2. Axillary artery-thigh bridge surgery

During arterial surgery, chronic anemia of the lower limbs during the IIB stage or after this period, i.e. when the patient feels calf pain both during operation and rest or signs of severe signs such as ulcers in the legs, necrosis in the legs …, and the patient has a blockage of blood vessels right at the pelvic junction. , blockage of the left and right pelvic arteries, along with the general condition of the patient is not suitable to create a bridge between the thigh owner, the best method in these cases is surgery to bridge the armpit-thigh artery. However, in cases where patients with chronic anemia of the lower entary have shown signs of necrosis and amputation, as well as patients with too many other conditions attached at the same time, it is not allowed to apply the method of surgery to bridge the axillary artery- thigh.

Calf cramps

Patients with calf pain during movement or rest should undergo surgery

Things to prepare before the surgery include:

  • Explain and inform patients and families about the preparation method applied on the patient.
  • Prepare the prescribed cardiovascular-thoracic operating room.
  • Material preparation is artificial circuit No. 8

The steps to perform surgery to bridge the armpit-thigh artery are as follows:

  • Place the patient in a position of lying on his back, his hands closed, kneeling just below the shoulders.
  • Anesthesia by in-administration anesthesia
  • Make a skin incision at the position of the chest Delta groove to reveal the axillary artery segment II
  • Next, reveal the horizontal femoral artery at the junction between the shallow femoral artery and the deep femoral artery
  • Establish a tunnel just below the skin starting from the armpits to the thighs, walking along the path of the front armpit.
  • Use artificial circuit number 8 to insert into the above tunnel.
  • Create a bridge between the upper part of the armpit artery and the artificial circuit using Prolene 5.0
  • Create a bridge between the lower part of the artificial circuit No. 8 and the femoral artery at the junction, which can be accompanied by endometrial peeling.
  • Conduct tunneling and continuous suction of the flow
  • Close the incision in the correct order of the anatomy layers.

Calf cramps

Perform surgery to bridge the armpit artery – thigh

After the axillary artery-thigh bridge surgery, patients should be monitored for a number of issues such as:

  • Monitor for signs of survival including pulse, temperature, breathing rate, blood pressure.
  • Post-surgery bleeding, which can be caused by a cathethe, if after a while can not heal itself, it is necessary to open the incision to check
  • There is a tunnel hematoma, anti-freezing drugs should be given to patients accompanied by effective compression and conduction bandages.
  • If the patient has anemia, manifested by symptoms of stunting, pale skin, decreased body temperature … it is necessary to immediately notify the treating doctor to check if the bridge between the axillary artery and the femoral artery is blocked.

Axillary artery-thigh bridge surgery is a surgical treatment applied to a number of chronic anemia conditions of the lower veins caused by atherosclerosis of the lower veins. This is a modern technique, although invasive to the patient's body but can help the blood flow between the armpit artery and the femoral artery to circulation, very effective in the treatment of chronic anemia of the lower nodes.

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About: Minh Quynh

b1ffdb54307529964874ff53a5c5de33?s=90&d=identicon&r=gI am the author of I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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