aneurysms Flashcards
1
Q
at what size should you fix aneurysms
A
5.5 cm
2
Q
risk factors for rupture
A
female, hypertension, expansion >1cm/yr, and COPD
3
Q
medical therapy for aneurysms
A
none, BP control and smoking cessation can help
4
Q
Indication for AAA repair
A
women > 5cm
tender painful
Emboli
enlarging
5
Q
post op mortality after grafting AAA
A
- MI
- stroke
- renal failure
- colonic ischemia
6
Q
who benefits the most from endovascular repair?
A
older > 85 less reserve
7
Q
classic triad for ruptured AAA
A
hypotension
backpain
pulsatile mass
8
Q
why do ruptured AAAs cause death
A
1) hypotension followed by lower body ischemia/reperfusion activates MSOF
9
Q
what % RRR in death due to AAA screening?
A
50%
10
Q
main issue with popliteal aneurysms is
A
they result in ischemia!
