Management of ABD aortic Aneurysm

Question 1

AAA atribute to how many deaths a yr

Answer 1

15,000

Question 2

Underlying causes of aneurysmal disease may not be caused by athrosclerosis?

T/F

Answer 2

True

Possible familial predisposition with chromosome 19q13

Question 3

Aneurysm developement hs been proposed as a result of elastin and collagen break down from

Answer 3

proteases

Question 4

An Importan part of the patho of AAA is

Answer 4

Inflammation

Question 5

inflammatory markes are ____ and ____

Answer 5

(C reactive protein) CRP and (Interleukin -6) IL-6

Question 6

Other etiologies of aortic aneursyms

Answer 6

Cystic mediated necrosis

salmonella and syphilis infections

Marfans and Ehlers-Danlos syndromesj

Question 7

strongest predictor of rupture is

Answer 7

SIZE BABY SIZE

Question 8

Risk of Rupture R/T Size

4.0 cm or less

Answer 8

0%

Question 9

Risk of Rupture R/T Size

4.0 - 4.9 cm

Answer 9

0.5 - 5 %

Question 10

Risk of Rupture R/T Size

5.0 - 5.9 cm

Answer 10

3 - 15 %

Question 11

Risk of Rupture R/T Size

6.0 - 6.9 cm

Answer 11

10 - 20%

Question 12

Risk of Rupture R/T Size

7.0 - 7.9 cm

Answer 12

20 - 40 %

Question 13

Risk of Rupture R/T Size

> 8.0 cm

Answer 13

30 - 50 %

Question 14

High risk includes expansion of > ___ in 6 months

Answer 14

0.5 cm

Question 15

Average expansion of larger AAA per year is

Answer 15

0.3 - 0.4 cm per yr

Question 16

Expansion of AAA tends to increase with ______ and decrease with _____ and _____.

Answer 16

Smoking

Diabetes and PVD

Question 17

Men or Women have a higher incidences of AAA

Answer 17

women

Question 18

AAA less then 5 cm are at equal risk of rupture compared to having ______

Answer 18

Surgical repair

Question 19

AAA 4.0 - 5.4 cm should be monitored with ultra sound or CT how often

Answer 19

6-12 months

Question 20

AAA 3.0 - 4.0 should be monitored how ofter with US or CT

Answer 20

2-3 yrs

Question 21

elective repair should be under gone in what tpes of Pts

Answer 21

aneurysms 2x the size of the aorta

those with rapid expansion . 0.5 cm in 6 mths

Question 22

ASA is it detremental to use with a AAA

Answer 22

no data suggest it contributes to expansion or initiation of rupture

Question 23

Long term statin use has shown decreased mortality in those who have undergone AAA repair?

T/F

Answer 23

True

Question 24

Two approaches to AA repair are

Answer 24

Retroperitoneal or transabdominal

Question 25

Indications for Repair

Answer 25

symptomatic aneurysms regardless of size

Asymptomatic aneurysm more then 2x the normal segment size

Early repair in patient whos size increases > 0.5 cm in 6 mths

Supra renal and thoracoabdominal . 5.5 - 6.0cm

Question 26

endo vascular repair is suggested for

Answer 26

those with a high risk of an open repair

Question 27

watch and wait are for those with

Answer 27

A medium sized aneursym

4. 0 - 5.4cm with CT q 6-12 mths
5. 0 - 4.0 cm US q 2-3 yrs