Peripheral Arterial Disease Management

Question 1

When is endovascular techniques used in PAD management?

Answer 1

For short segment stenosis less than 10cm, ideal for HIGH risk patients. This invovles ballon angioplasty and/or stenting.

Question 2

When is an open surgical technique used?

Answer 2

For long segment lesions over 10cm and multi focal lesions because it indicates multi focal lesions, ideal for lower risk patients and involves creating:
a surgical bypass
endartectomy.

Question 3

What type of imaging is used first INR?

Answer 3

Duplex ultrasound

-> second line is magnetic resonance angiography

Question 4

What is the pharmacological management of PAD?

Answer 4

Atorvostatin 80mg regardless of total cholesterol
Clopidogrel antiplatelet

Question 5

What is a Marjolin’s ulcer?

Answer 5

Squamous cell carcinoma that develops in areas of chronic skin injury or inflammation with old burn scars or osteomyelitis. It occurs mainly on lower limb.
Treatment is with surgery.