Lower Limb Arteries And PAD

Question 1

Which superficial vein is unsuitable for use as a bypass graft in the leg?

Answer 1

Popliteal, as it’s a major artery

Question 2

Symptoms of claudication

Answer 2

Pain in calf with exercise

Question 3

CLTI and rest pain symptoms

Answer 3

Constant pain in foot worse at night, slight relief hanging off side of bed

Question 4

Does sitting relive CLTI pain?

Answer 4

No

Question 5

Symptoms of acute limb ischaemia

Answer 5

Numbness and tingling

Question 6

Describe acute limb ischaemia

Answer 6

Sudden severe onset of pain in foot

Question 7

Risk factors for PAD

Answer 7

Same as CAD

Question 8

Likely prognosis for untreated claudication (5 years)

Answer 8

Up to 5% chance of amputation
20% chance of death from MI

Question 9

Management for Claudication

Answer 9

Mostly conservative lifestyle changes

Intervene only if major impairments and reduced QoL

Question 10

Imaging techniques for critical limb ischaemia

Answer 10

Duplex ultrasound
CTA
MRA

Question 11

Can angioplasty be used in critical limb ischaemia

Answer 11

Yes

Question 12

Can iliac lesions be stented?

Answer 12

Yes