Abdominal Aortic Aneursym Flashcards
1
Q
What is a true arterial aneurysm?
A
50% increase in normal diameter (1.2-2cm)
2
Q
Risk factors for AA?
A
Male Hypertension FH Age Smoking PVD Cardiac disease Cerbrovascular disease Hypertension Hypercholesterolaemia Diabetes
3
Q
Indications for AAA surgery?
A
> 5.5cm
Expanding more than 1cm per year
Symptomatic
4
Q
Investigations for AAA
A
NHS screening for all men in their 65th year
5
Q
Ultrasound vs CT scan for AAA?
A
Ultrasound for screening/to see if you have one
CT IS THE ONLY METHOD TO IDENTIFY RUPTURED AAA (do CT with contrast and scan during arterial phase)
6
Q
EVAR
A
Exclude AAA from ‘inside’ the vessel
Inserted via peripheral artery
X-ray guided
Modular components
7
Q
Open repair
A
Laparotomy
Clamp aorta + iliacs
Dacron Graft
Tube vs Bifurcated graft
8
Q
Pathology of AAA
A
Medial degeneration
Law of Laplace
9
Q
Management summary of AAA
A
Evaluation
Surveillance
EVAR/Open repair
