PVD: Aortic. PAD Flashcards
Most common site for thoracic Ao aneurysm?
Desc thoracic Ao
Timing of Ascending TAA repair
> 5.5cm for most patients
>4.5cm for bicuspid AV, Marfans or Ehlers-Danlos
Timing of descending TAA repair
> 6.5cm
Can you do endovascular repair for an ascending Ao aneurysm?
No
Surgical morbidity for descending TAA repair
Paraplegia
Is open surgery or endovascular preferred for AAA repair?
Endovascular
What is difference in mortality b/w endovascular or open AAA repair? Morbidity?
None
Lower morbidity with endovascular
Timing of repair of AAA
> 5.5cm
What to do with pt with AAA 4-5.4cm?
U/S or CT every 6-12 months
What to do for pt with AAA <4cm?
U/S every 2-3 yrs
When do you repair a AAA regardless of diameter?
sxs
Guidelines for management of AAA
4cm- U/S every 2-3 yrs
4-5.4cm- U/S or CT every 6-12months
5.5cm- repair
Any sxs = repair
USPSTF recs for AAA screening
Screen any man age 65-75 who ever smoked
No routine screening for women (even with family hx)
When can you screen a person for AAA if they have a first degree relative with AAA?
When it is a MAN 60 yrs old or older (not women)
When do you intervene on a lower ext aneurysm?
> 2cm