Iliofemoral Bypass Periprocedural Care

Updated: Jul 12, 2021
  • Author: Dale K Mueller, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Periprocedural Care


Standard vascular instrumentation is preferable. Ideally, the procedure is done in an endovascular operating room or with endovascular imaging immediately available as needed.


Patient Preparation

General anesthesia is used under most circumstances. Spinal anesthesia is an alternative but is not commonly used.

Supine positioning is employed, with the abdomen and both lower extremities prepared.


Monitoring & Follow-up

The 2018 guidelines from the Society for Vascular Surgery (SVS) recommended clinical examination and ankle-brachial index (ABI) measurement, with or without the addition of duplex ultrasonography, in the early postoperative period to provide a baseline for further follow-up after iliofemoral bypass; this evaluation would be repeated at 6 and 12 months and then annually as long as there are no new signs or symptoms. [10]