PVD: Miscellaneous Flashcards
What percent of retro peritoneal hematomas post cath need blood transfusion?
> 80%
Incidence of retro peritoneal hematoma
<.1%
Where are most AV fistulas found post femoral cath?
Distal to CFA (SFA or PFA)
Do many femoral AV fistulas close spontaneously?
Yes
When do you repair femoral AV fistula?
If signs or sxs of enlargement
5 P’s of Acute Limb Ischemia
Pain, pallor, pulseless, paresthesias, paralysis
Name 2 large vessel vasculitides
Temporal arteritis
Takayasu’s
Name 2 medium vessel vasculitidies
PAN
Kawasaki
Name 2 small vessel vasculitides
Behcet’s
Churg-Strauss
Name 3 connective tissue disease vasculitides
SLE
scleroderma
RA
How do you diagnose and treat PAN?
Noninvasive angiography
Corticosteroids
What syndrome is associated with SLE? How do you treat it?
APLA
Warfarin
Top two etiologies for raynaud’s? Rx for raynaud’s ?
Scleroderma and SLE
Avoid triggers
Angiography with corkscrew appearance below knee. Dx?
Buerger’s dz
Histology of Buerger’s vasculopathy
Non-atherosclerotic
Segmental
ESR in Buerger’s
Normal
Rx for. Buerger’s
Quit smoking
Rule out thromboembolic source
What maneuver do you use to test for thoracic outlet syndrome? What is a positive sign?
Adson’s
Loss of radial pulse as arm abducted 90 degrees
Rx for Thoracic outlet syndrome
Strength exercises
1st rib resection if severe
What is chronic venous dz with ulcer highly associated with?
DVT
How do you diagnose chronic venous insufficiency?
Duplex U/S
Rx for chronic venous insufficiency
Compression Furosemide Skin care Ulcer therapy Vein ablation
