Vascular Surgery/help


There is occlusion of left common and external starting at the abbdmonal aortic bifurcation w reconstition distally at the level of common femoral artery secondery to collateral flow from the left circumflex Iliac artery. There is opacification of the arteries in the left internal Iliac artery distribution secondary to collateral flow. The left deep femoral artery is patent. The left superficial femoral and popliteal arteries patent throughout their courses. There is loss of  pacification seen distally involving the left anterior tibial and peroneal arteries just proximal to the ankle the predominant arterial inflow to the left foot is supplied by the left posterior tibial artery.
The right common Iliad artery is patent with multiple area of  narrowing. The most signicant is a moderate narrowing seen in its distal portion for a segment of approximately 1.7cm. I was smoker quite recentley. I am 49yrs old didn't start my life yet struggling w my leg.
My question is want know haw bad is my condition or have to have open abdominal surgery?

AAA surgery n the hands of an experienced surgeon is a wonder! lasts decades and tho it is a big surgery w tough recovery, it will change your life but always a but right, if you start smoking again it will fail and leave you in trouble again. hope this helps, lauri

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Lauri Ordway


I can answer your questions related to your circulation, your peripheral vascular system. This includes all arteries and veins except those inside the head and inside the heart. For example, neck (carotid), arms (carotid subclavian bypasses to Thoracic Outlet) belly (aortic aneurysm & occlusive disorders, renal artery stenosis), legs (iliac, femoral, popliteal, peroneal, dorasalis pedis, posterior and anterior tibial) arteries. Aneurysm & occlusive disease, atherosclerosis, leg pain, arterial wounds and gangrene, amputation prevention. Arterial Bypass, Reynaud’s, Buerger's disease (thromboangiitis obliterans), Thoracic Outlet and other circulation disorders. Vein disorders: Blood Clots (DVT), post-phlebetic syndrome, varicose veins, venous stasis ulcers. I can help with vascular wounds from diagnosis to treatments. I have worked extensively with VNUS Closure and EVLT (Laser) for varicose veins and can describe pre and post procedure expectations and describe the procedures themselves. I can't help with spider veins or cosmetic vein treatment, we don't do it. I have 15 years of wound care experience, arterial, venous, trauma and diabetic wounds for example. **I CANNOT answer questions about STENTS or STENTING, heart disease, blood pressure, brain aneurysm although I can help with questions about the arteries that go to and from those organs.


I am a nurse, I worked for 15 years with two terrific peripheral vascular surgeons, and one of them is also the inventor of very innovative wound care products and surgical instruments to make vascular surgery procedures better and faster. I wrote and manage the clinic website and field questions from patients all over the world. I am now working with another vascular surgeon and wound care expert, which has given me an opportunity to widen my horizons as I learn another excellent physician's preferences and benefit from his experiences in this amazing specialty.

I am an LPN, licensed in Minnesota

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