Atypical Vascular Disorders Flashcards
what is an arteriovenous fistula?
abnormal direct communication between an artery and a vein
arteriovenous fistulas
size of connection and location is important in the development of ___
CHF
traumatic arteriovenous fistulas - ___ connections
congenital arteriovenous fistulas - ___ connections
traumatic arteriovenous fistulas - single connections
congenital arteriovenous fistulas - numerous connections
____ located fistulas are less likely to cause CHF but more likely to cause ___
peripherally located fistulas are more likely to cause ischemia
___ and ___ predict the resistance a fistula offers
diameter and length
arterial proximal to the fistula has greatly ___ flow, especially during diastole
increased flow
arterial flow distal to the fistula can be normal or become more ___
pulsatile
arteriovenous fistulas
BP in the distal artery is always ___
reduced
direction of blood flow may be normal if the fistula resistance exceeds that of the ___
distal vascular bed
flow through the fistula is ___
turbulent
venous flow approaching the fistula is ___
phasic
venous flow moving away from the fistula is ___
phasic and pulsatile
chronic, large fistulas may cause ____ in the distal vein
retrograde (valves are incompetent)