Popliteal and Femoral Disease

Question 1

Are popliteal artery aneurysms typically true or false aneurysms

Answer 1

TRUE

Question 2

Are femoral artery aneurysms typically true aneurysms

Answer 2

no

Question 3

What is the most typical complication of popliteal or femoral disease

Answer 3

thromboembolism

Question 4

What is the tx for asymptomatic and symptomatic patients

Answer 4

asx: non-op management, sx: reconstruct with autogenous vein graft

Question 5

When would an end to side anastomosis be used

Answer 5

when theres a size mismatch between artery and conduit

Question 6

Are true aneurysms more associated with bilateral ds

Answer 6

yes

Question 7

Why are true aneurysms more associated with bilateral ds

Answer 7

usually due to degenerative ds

Question 8

Define type I femoral aneurysm

Answer 8

limited to the common femoral artery

Question 9

Define type II femoral aneurysm

Answer 9

involve the deep femoral artery

Question 10

What often occurs in small less than 1cm pseudoaneurysms

Answer 10

they will thrombose

Question 11

What is the tx of infected aneurysms

Answer 11

all should be repaired -ligate involved vessel, debride and reconstruct

Question 12

What is the MC organism found in infected aneurysms

Answer 12

Staph epidermidis- 60%

Question 13

What is the gold standard for iatrogenic femoral aneurysm repair

Answer 13

open surgical repair

Question 14

Can thrombin injection be used to repair iatrogenic femoral aneurysms

Answer 14

yes

Question 15

What can be done endovascularly to repair iatrogenic femoral aneurysms

Answer 15

coil, thrombotic agents, EVAR