Has anyone had a femoral / femoral bypass

Posted by JudyHooper @judyhooper, Jun 9, 2016

Looks like I am in bad shape kidney are crashing blockage all over even my heart they say is not good ?? & 100 % block Aorta all 5 stents in my legs are blocked I so need a top rated hospital & Doctor to feel secure about getting operate on . My time is short just hoping & Praying for the right place to go .....Still searching :(.

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My oncologist wanted me to be seen at either Cleveland Clinic or Mayo Clinic ....while all my family lives in Ohio it would have been more convenient in ways to have the septal myectomy there. The US News Best Hospital ranks them both as 1 & 2 in the nation in regards to heart surgery...I chose Mayo...patient safety Mayo scored 5/5 and Cleveland 3/5...I had also a major surgery at Mayo previously...one that no other place would attempt because of my cancer...they preformed a thoracotomy and saved my life...I guess I am a bit partial to Mayo!

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Thank you my Ladies I so needed the input I go tomorrow to see what this doctor has to say I know I HAVE MEDICARE AND MEDICAID insurance hoping I have no problems with them ? i feel to fo to mayo in Minnesota only 6 hrs away this is the results if anyone knows what this means love your inputs This is my test results Study Result

PROCEDURE: CTA ABDOMINAL AORTA BIFEM DIA-MID FEM (IV) MEASURE (CPT=75635)

COMPARISON: None.

INDICATIONS: I73.9 Peripheral vascular disease, unspecified. Patient states she has occluded iliac stents.

TECHNIQUE: After obtaining the patient's consent, CT images of the abdomen, pelvis, and lower extremities were obtained pre- and post- injection of non-ionic intravenous contrast material. Multi-planar reformatted/3-D images were created to optimize
visualization of vascular anatomy. Dose reduction techniques were used.

CONTRAST USED: 100 cc of non-ionic contrast

FINDINGS:
AORTO-ILIAC: Patient status post bilateral common iliac and external iliac stents as well as left main renal artery stent. The left main renal artery stent appears chronically occluded. There is marked atrophy of the left native kidney. No appreciable
contrast opacifying the distal abdominal aorta just proximal to the aortic bifurcation. The common iliac stents appear occluded bilaterally. The right external iliac stent is occluded. There is opacification of the very distal left external iliac stent.
There is reconstitution of the common femoral arteries bilaterally secondary to collateral vessels. Moderate to severe calcified atheromatous plaque involving the abdominal aorta. The origin of the celiac is widely patent. There is mild to moderate
plaque at the origin of the SMA which is diminutive in caliber with suggestion of greater than 50% narrowing of the proximal SMA. Mild calcific plaque involving the origin of the right main renal artery with moderate plaque involving the proximal right
main renal artery. The IMA is not seen to opacify off the abdominal aorta and may fill via collateral vessels.
RIGHT LEG: Occluded right external iliac stent. The right common femoral artery is reconstituted via collateral vessels
LEFT LEG: Occluded left external iliac stents reconstitution of the distal external iliac and common femoral via collateral vessels.
LUNG BASE: Atelectasis. 3 mm subpleural nodule in the left lung base posteriorly. 3 mm calcified nodule in the right middle lobe.
LIVER: Homogeneous enhancement.
BILIARY: No biliary ductal dilatation.
PANCREAS: Homogeneous enhancement.
SPLEEN: Normal caliber.
KIDNEYS: Occluded left main renal artery stent with atrophic left kidney. No evidence of obstructing urinary calculus, hydronephrosis or focal renal mass
ADRENALS: Normal.
RETROPERITONEUM: No enlarged retroperitoneal lymph nodes.
BOWEL/MESENTERY: Normal caliber small bowel loops. Uncomplicated colonic diverticulosis
PELVIC ORGANS: Within normal limits for patient's age.
BONES: Mild degenerative changes in the lower lumbar facets. Hypertrophic endplate spurring lower thoracic and lumbar spine.

RIGHT Femoral Artery:
Tortuosity: There is mild tortuosity.
Calcification: mild
Minimum luminal diameters:
Common iliac: Occluded stent
External iliac: Occluded stent
Common femoral: 4 mm

LEFT Femoral Artery:
Tortuosity: There is mild tortuosity.
Calcification: There is mild calcification.
Minimum luminal diameters:
Common iliac: Occluded stent
External iliac: Occluded stent
Common femoral: 3.7 mm

=====
CONCLUSION: Chronic left main renal artery stent occlusion with atrophy of the left kidney.

Chronic occlusion of the distal abdominal aorta just proximal to the aortic bifurcation with chronic occlusion of bilateral common iliac artery and external iliac artery stents. There is reconstitution of the common femoral arteries bilaterally via
collateral vessels.

3 mm noncalcified left lower lobe pulmonary nodule.

Normal caliber bowel loops with uncomplicated colonic diverticulosis.

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@colleenyoung

Welcome to Connect @judyhooper and @bareed.
Judy, I'm sorry to hear about your health issues. As you and @bareed state, a top-rated hospital and highly experienced surgeons are what you should be looking for. Should you wish to inquire at Mayo Clinic for a consult, please see the contact numbers on this page http://mayocl.in/1mtmR63

@suzys16 @starshooter wrote about femoral bypass quite a while ago. Other members who may be able to give you some insight on care centers of excellence are @cynaburst @elsinann @gonefishinmt @predictable @lepadelford

Judy, are you willling and able to travel?

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what hospital did you have your surgery done ? God bless you 16 years is awesome 🙂

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@judyhooper

Thank you my Ladies I so needed the input I go tomorrow to see what this doctor has to say I know I HAVE MEDICARE AND MEDICAID insurance hoping I have no problems with them ? i feel to fo to mayo in Minnesota only 6 hrs away this is the results if anyone knows what this means love your inputs This is my test results Study Result

PROCEDURE: CTA ABDOMINAL AORTA BIFEM DIA-MID FEM (IV) MEASURE (CPT=75635)

COMPARISON: None.

INDICATIONS: I73.9 Peripheral vascular disease, unspecified. Patient states she has occluded iliac stents.

TECHNIQUE: After obtaining the patient's consent, CT images of the abdomen, pelvis, and lower extremities were obtained pre- and post- injection of non-ionic intravenous contrast material. Multi-planar reformatted/3-D images were created to optimize
visualization of vascular anatomy. Dose reduction techniques were used.

CONTRAST USED: 100 cc of non-ionic contrast

FINDINGS:
AORTO-ILIAC: Patient status post bilateral common iliac and external iliac stents as well as left main renal artery stent. The left main renal artery stent appears chronically occluded. There is marked atrophy of the left native kidney. No appreciable
contrast opacifying the distal abdominal aorta just proximal to the aortic bifurcation. The common iliac stents appear occluded bilaterally. The right external iliac stent is occluded. There is opacification of the very distal left external iliac stent.
There is reconstitution of the common femoral arteries bilaterally secondary to collateral vessels. Moderate to severe calcified atheromatous plaque involving the abdominal aorta. The origin of the celiac is widely patent. There is mild to moderate
plaque at the origin of the SMA which is diminutive in caliber with suggestion of greater than 50% narrowing of the proximal SMA. Mild calcific plaque involving the origin of the right main renal artery with moderate plaque involving the proximal right
main renal artery. The IMA is not seen to opacify off the abdominal aorta and may fill via collateral vessels.
RIGHT LEG: Occluded right external iliac stent. The right common femoral artery is reconstituted via collateral vessels
LEFT LEG: Occluded left external iliac stents reconstitution of the distal external iliac and common femoral via collateral vessels.
LUNG BASE: Atelectasis. 3 mm subpleural nodule in the left lung base posteriorly. 3 mm calcified nodule in the right middle lobe.
LIVER: Homogeneous enhancement.
BILIARY: No biliary ductal dilatation.
PANCREAS: Homogeneous enhancement.
SPLEEN: Normal caliber.
KIDNEYS: Occluded left main renal artery stent with atrophic left kidney. No evidence of obstructing urinary calculus, hydronephrosis or focal renal mass
ADRENALS: Normal.
RETROPERITONEUM: No enlarged retroperitoneal lymph nodes.
BOWEL/MESENTERY: Normal caliber small bowel loops. Uncomplicated colonic diverticulosis
PELVIC ORGANS: Within normal limits for patient's age.
BONES: Mild degenerative changes in the lower lumbar facets. Hypertrophic endplate spurring lower thoracic and lumbar spine.

RIGHT Femoral Artery:
Tortuosity: There is mild tortuosity.
Calcification: mild
Minimum luminal diameters:
Common iliac: Occluded stent
External iliac: Occluded stent
Common femoral: 4 mm

LEFT Femoral Artery:
Tortuosity: There is mild tortuosity.
Calcification: There is mild calcification.
Minimum luminal diameters:
Common iliac: Occluded stent
External iliac: Occluded stent
Common femoral: 3.7 mm

=====
CONCLUSION: Chronic left main renal artery stent occlusion with atrophy of the left kidney.

Chronic occlusion of the distal abdominal aorta just proximal to the aortic bifurcation with chronic occlusion of bilateral common iliac artery and external iliac artery stents. There is reconstitution of the common femoral arteries bilaterally via
collateral vessels.

3 mm noncalcified left lower lobe pulmonary nodule.

Normal caliber bowel loops with uncomplicated colonic diverticulosis.

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i almost lost my leg in 2002 and had femmerol stent placed...so that makes what 15 good years! the key is to have ultrasounds every few months then they taper down. you can't feel it and your leg will be great as new. NO WORRIES!!!

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sorry i hadn't read your whole record..i lost my left kidney before anyone knew there was a problem and rt is functioning at 75% with two stents that had to be restented a year later. this was 2002 also. had triple bypass and restent in one a year later. i am 67 and activity level has diminished but i'm still upright most of the time. i'm only sharing this with you so that you know you have a chance of a good future. all the surgeries where done in asheville, nc and had excellent care. God bless us and whoever invented stents!!!

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I seen my doctor yesterday and right now I am Dazed & confused !!so need prayers He told me if I do the surgery I would die I am to high of a risk ??? go monday to my primary I will cry to her 🙁

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he also said mayo will not accept my insurance which is medicare and medicaid

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@judyhooper

I seen my doctor yesterday and right now I am Dazed & confused !!so need prayers He told me if I do the surgery I would die I am to high of a risk ??? go monday to my primary I will cry to her 🙁

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Dear Judy, I understand exactly what you are going through tonight, because I'm going through the same sort of thing. I'm glad you have a doctor you can cry to. Hang on till Monday, and know that many, many people care about you and are rooting for you. God bless you, Dear Heart. Love, Elsin Ann Perry (Annie)

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@judyhooper

he also said mayo will not accept my insurance which is medicare and medicaid

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Hi Judy,<br>If He said the surgery is too high risk,then it seems as though you are better off enjoying the rest of your life and not doing it.Ask God to help you and heal you,He is the God the impossible.<br><br>

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@judyhooper

he also said mayo will not accept my insurance which is medicare and medicaid

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I would contact Mayo Clinic yourself to find out what insurance they accept. <br><br>

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