Femoropopliteal Bypass Surgery
(Leg Artery Bypass Surgery; Femoral Popliteal Bypass;)
by Amy Scholten, MPH
Femoropopliteal bypass is surgery to route blood around a blocked main leg artery. A graft is made from a vein or artificial tube. The graft makes a new path for the blood.
Reasons for Procedure
Femoropopliteal bypass graft may be done to:
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
What to Expect
Prior to Procedure
The doctor may meet with you to talk about:
The doctor will give:
Description of the Procedure
An incision will be made in the leg. The doctor will take out a vein. The vein will be used to make the bypass graft. If the vein cannot be used, an artificial vein is used.
Next, an incision will be made in the groin. It will expose the femoral artery. This is the artery in the thigh. The doctor will make another incision at the back of the knee to expose another artery. This is called the popliteal artery.
The doctor will use clamps to block the flow of blood through these two arteries. One end of the new bypass vein will be stitched into the femoral artery. The other end will be stitched into the popliteal artery. The doctor will check the graft for leaks and repair any. The clamps will then be removed. This will allow blood to flow through the graft to the lower leg. The incisions will be stitched. A bandage will be placed over the site.
Sometimes a vein in the thigh is used as a graft while left in place. In this procedure, the valves inside the vein will be removed with a small scope and tool. The vein will then be attached to the arteries to form a graft.
How Long Will It Take?
1 to 3 hours
Will It Hurt?
There may be some pain for weeks or even months. Pain medicine will help.
Average Hospital Stay
7 to 10 days
At the Hospital
During your stay, the hospital staff will take steps to lower your risk of infection such as:
There are also steps you can take to lower your risk of infection such as:
It may take 6 weeks or longer to recover. The doctor may advise exercise, physical therapy, and lifestyle changes.
Call Your Doctor
Call your doctor if you are not getting better or you have:
If you think you have an emergency, call for medical help right away.
American Heart Association
National Heart, Lung, and Blood Institute
Heart and Stroke Foundation of Canada
Femoral popliteal bypass. Stanford Health Care website. Available at: https://stanfordhealthcare.org/medical-treatments/f/femoral-popliteal-bypass.html. Accessed September 9, 2021.
Lower extremity bypass surgery. USCF Department of Surgery website. Available at: https://vascular.surgery.ucsf.edu/conditions--procedures/lower-extremity-bypass-surgery.aspx. Accessed September 9, 2021.
Peripheral artery disease (PAD) of lower extremities. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/peripheral-artery-disease-pad-of-lower-extremities. Accessed September 9, 2021.
Surgical bypass. Society for Vascular Surgery website. Available at: https://vascular.org/patient-resources/vascular-treatments/surgical-bypass. Accessed September 9, 2021.
Witcher A, Axley J, et al. Implementation of an enhanced recovery program for lower extremity bypass. J Vasc Surg. 2021 Feb;73(2):554-563.
Last reviewed July 2021 by EBSCO Medical Review Board Nicole Meregian, PA