Femoral Endarterectomy for Severe Peripheral Arterial Disease

1. Introduction

2. Incision and Exposure

3. Heparinization and Clamping

4. Endarterectomy

1. Arteriotomy
2. Remove Bulk of Plaque
3. Check Proximal Flow
4. Check Proximal End Point
5. Check Profunda and Distal End Point
6. Check Branches
7. Check SFA and Define Distal End Point
8. Final Inspection

5. Patch Placement

1. Hemostasis and Reversal of Heparin

6. Interrogation of Blood Flow

1. Pulse Volume Recording (PVR)
2. Doppler: Interrogate Distal Flow
3. Doppler: Interrogate Proximal Flow

7. Hemostasis

8. Closure

9. Post-op Remarks