B Aortobifemoral bypass grafting
Aortobifemoral bypass grafting is commonly performed to correct symptomatic unilateral iliac occlusive disease, which generally occurs in men older than 55 years.
2. Preoperative assessment and patient preparation
a) History and physical examination
(1) Cardiovascular: 30% to 50% of patients have coexisting CAD. Other common risk factors are MI, hypertension, angina, valvular disease, congestive heart failure, and arrhythmias.
(2) Respiratory: Most patients have a significant history of smoking and possibly chronic obstructive pulmonary disease.
b) Patient preparation
(1) Laboratory tests: Complete blood count, prothrombin time, partial thromboplastin time, bleeding time, electrolytes, blood urea nitrogen, creatinine, creatinine clearance, and urinalysis are obtained.
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