Lecture 14 - PVD Flashcards
What is peripheral artery disease
Stenosis/occlusion in the peripheral arteries that mainly affects LE
What are the 3 categories of peripheral artery disease
- Intermittent Claudication: Symptoms occur only during physical activity
- Asymptomatic Disease: Asymptomatic because activity level never exceeds the threshold
- Limb-threatening Ischemia: Clinical syndrome, chronic, advance limb ischemia, rest pain, non-healing ulceration, gangrene
What disease cause obstruction
Mainly atherosclerosis, but can be nonatherosclerotic:
1. Buerger disease: Blood vessels inflamed causing blockage (usually males over 45 who smoke)
2. Vasculitis: Blood vessel inflammation resulting in thickening and restricted blood flow to organs resulting in tissue damage
3. Fibromuscular dysplasia: Primarily affects females that causes stenosis, dissection, or aneurysm (impacts walls of arteries)
What is artherosclerosis
IT is a chronic, slow, progressive disorder that causes plaque to accumulate resulting in loss of elasticity, stenosis, and and obstruction. The plaque can burst resulting in a thrombosis resulting in ischemia
What are 3 complications of atherosclerosis
- Polyvascular disease
- Chronic Kidney Disease
- Aneurysm: Bulge in weakened area of arterial wall
What are 4 signs of atherosclerosis
What are the 4 most frequent arteries that atherosclerosis occurs in
Circled in red
Risk factors of peripheral artery disease
Name types of polyvascular diseases and the areas they impact
What are 8 symptoms of ischemia
What are 5 characteristics of dry gangrene
What are 4 characteristics of wet gangrene
What is an endarterectomy and when is it used
What is a bypass
What are 6 complications of aortobifemoral bypass
When do we use extra-anatomic bypasses and how should patients lie down after this surgery
Thrombus
Blood clot formed within a vessel
Embolus
Fragment of thrombus, fat, plaque, bacterial vegetation or air that travels and obstructs blood flow in an area other than its origin
Thromboembolism
A thrombus that becomes an embolism
What are risk factors of an embolus/thrombus in peripheral vascular system
-Cardiac history (MI, aneurism)
-Cancer
-Inherited blood clotting disorders
-Medications
What are the 7 P’s
What are pain characteristics of a thrombus/embolus