ANGIO-INTER / VASCULAIRE

Question 1

Triad du Syndrome de Leriche

Answer 1

• Claudication hanche et/ou fesse
• Absence de pouls fémoraux
• Impotence

Question 2

Anévrisme viscéral les plus fréquent en orde ?

Answer 2

1. Splénique
2. A. Hépatique

Question 3

Traitement Pseudo-anévrisme A. Tibial Antérieur ?

Answer 3

Chirurgical en premier

Question 4

Traitement d’angioplastie + stent d’une sténose de l’artère iliaque commune

Answer 4

angioplasty balloon should be oversized by
approximately 10% of vessel diameter in the iliac
arteries. An expanded stent should be 1 to 2 cm
longer than the stenotic lesion and 1 mm wider in
diameter than normal adjacent vessel lumen

Question 5

À quoi sert la venographie faite avant l’installation d’un filtre de la veine cave ?

Answer 5

(1) Presence of IVC thrombus: This
can interfere with proper seating of the filter and might
mandate placement at a higher level in the IVC; (2)
Location of the lowermost renal vein on each side,
because the preferred location of IVC filters is immediately below the renal vein entry; (3) Presence of caval
or renal vein anomalies; (4) IVC diameter: Any filter
(Greenfield, Boston Scientific; Venatech, Braun; or
Simon-Nitinol, Bard) can be inserted into an IVC that
measures 18 to 28 mm. However, between 1% and 3%
of patients have a megacava, in which the IVC diameter
is greater than 28 mm. The TrapEase filter (Cordis) can
be inserted into an IVC measuring 18 to 30 mm, and
the bird’s nest filter (Cook) can be inserted into an
IVC measuring up to 40 mm. In the rare situation where
the IVC diameter is greater than 40 mm, two filters can
be inserted, one into each common iliac vein

Question 6

Obstruction du ligament acqué pire en inspiration ou expiration ?

Answer 6

Expiration

Question 7

Télangiectasie Hémorragique Héréditaire (HHT - aka Sx d’Oslo-Weber-Rendu) , quelle est l’atteinte génétique

Answer 7

Autosomal Dominant ; Chromosome 9 - gène appelé Endoglin

Question 8

Hémorragie Digestive + sténose de la valve aortique =

Answer 8

Syndrome de Heyde (+ souvent angiodysplasie)

Question 9

Syndrome de Heyde ?

Answer 9

Hémorragie Digestive (+ souvent angiodysplasie) + sténose de la valve aortique

Question 10

Oslo-Weber-Rendu organe les plus atteints ?

Answer 10

Cavité nasal 90%
Skin and mucosal membranes: 90%
Foie 71-79%
G-I Track 20-40%
∆∆ 20%
SCN 5-10%