Lower Extremity Revascularization

Also known as Renovascular Condition

Renal disease affects the blood flow into or out of the kidneys. It may cause kidney damage, kidney failure, and high blood pressure. Tests, including a renal angiogram or doppler ultrasound, reveal if the renal arteries have narrowed.

Medical management is the first recommendation for treatment using anti-hypertensive medications. If intervention is needed to treat renal artery stenosis, this is done by ballooning or stenting the renal arteries, which helps hold the vessels of the wall open for better blood flow. Another less common option is a surgical bypass.

What to expect

  • Do not eat or drink after midnight

    Do not take herbs before surgery

    You will need a driver when you are discharged from the hospital

    Current Medications

    You are responsible for informing the doctor and the nurse of all medications you are taking. Certain medications may need to be held 1-3 days prior to the procedure. The office will let you know at the time of scheduling the procedure.

    You might need to stop taking blood thinning products before surgery. Please call the office if this has not been addressed during surgery arrangements. See the following examples:

    • Pradaxa

    • Eliquis (Apixaban)

    • Coumadin (Warfarin)

    • Xarelto (Rivoroxaban)

    Continue taking the following medications:

    • Aspirin

    • Plavix (Clopidrogel)

    • Effient (Prasugrel)

    • Aggrenox

    • Ticlid (Ticlopidine)

    Please notify us if you are Diabetic, as certain diabetic medications must be stopped 48 hours before surgery. If you are on any of the following diabetic medications, including insulin, please check with the prescribing physician to see if another medication is needed during the 24-hour period.

    • Metformin (Glucophage)

    • Avandamet

    • Fortamet

    • Glucovance

    • Metaglip

    • Actoplus

    • Glyburide

    *You may take heart and blood pressure medicine in the morning with a small sip of water

    *CONTINUE ALL OTHER MEDICATIONS IF NOT INSTRUCTED OTHERWISE

  • Drink plenty of fluids for 24 hours

    No smoking or chewing tobacco

    See your doctor for a follow-up appointment in 3 weeks

    Bathing: You may shower after 24 hours: no bath, swimming, or hot tubs for five (5) days.

    Lifting: Do not lift objects over 10 pounds for 24 hours; no heavy lifting for two (2) weeks.

    Driving: Do not drive a car or operate machinery or power tools for 24 hours.

    Stairs: If possible, avoid them for 24 hours.

    Wound / Skin Care:

    Leave the dressing on for 24 hours

    Avoid lotions, ointments, or powders at the wound site for one (1) week. No Neosporin.

    Watch for pulsating heavy bleeding and sudden marked swelling at the groin site. If actively bleeding or progressive swelling occurs at the site, lay down and apply direct pressure over the site and notify your physician immediately.

    If your affected foot/limb develops sudden or persistent pain that does not go away, notify your physician immediately

    Some oozing and bruising are common at the groin site. Bruising can occur in areas other than the puncture site due to blood thinners.

    Watch for signs of infection at the incision site or physical symptoms such as:

    • Redness

    • Swelling

    • Hot areas

    • Temperature above 101˚ F

    • Chills

    • Drainage

    • Hardened areas

Additional Information

Atherosclerosis
Surgical Bypass
Renal Vascular Disease