After a peripheral vascular graft, how should the affected extremity be positioned?

• A. Elevate The Extremity Above Heart Level
• B. Flex The Knee And Hip To Relieve Tension
• C. Place In A Dependent Position
• D. Keep Extremity Straight And Bed Rest For 24 Hours

Answer: (D)

The priority after a peripheral vascular graft is protecting the graft site from tension and disruption so the anastomosis can heal and remain patent. Keeping the affected limb straight minimizes bending at the knee and hip, reducing stress on the graft. Immobilizing the extremity for about 24 hours helps stabilize the graft and prevent movement that could cause bleeding or displacement. Elevating the leg or placing it in a dependent position can alter blood flow around the graft—elevation may reduce arterial inflow, and a dependent position can increase venous pressure and edema, risking compromised perfusion. Flexing the knee or hip also creates tension on the graft. So, keeping the extremity straight and on bed rest initially best protects the graft.