Chapter 33 - Surgical and endo therapy venous

Question 1

Risk factors of varicose veins

Answer 1

1) pregnancy
2) heredity
3) prolonged standing
4) trauma
5) age
6) obesity

Question 2

Indication for varicose vein treatment

Answer 2

1) aching, throbbing, fatigue/heavy, night cramps, burning, itching
2) skin changes

Question 3

Contraindication for venous ablation

Answer 3

1) allergy
2) hypercoagulability
3) immunocompromised system
4) pregnancy
5) thrombus
6) deep vein occlusion
7) too superficial
8) too tortuous

Question 4

Post ablation adverse events

Answer 4

1) bruising/ecchymosis
2) pain
3) redness
4) paresthesia
5) neuralgia
6) DVT

Question 5

EHIT classification

Answer 5

Endovenous heat-induced thrombus
Class I: thrombosis to SFJ but not into deep
Class 2: nonocclusive extension of DVT cross section <50%
Class 3: > 50%
Class 4: DVT

Question 6

Benefit of foam sclerotherapy

Answer 6

1) better visualization
2) small amount needed
3) better contact with vein
4) stays in vein longer

Question 7

TIPSS

Answer 7

Transjugular intrahepatic portosystemic shunt

1) catheter into right IJ
2) catheter into right hepatic vein
3) advance from hepatic vein into portal vein
4) cover stent to bridge