Selection of Arteries

Question 1

considerations and precautions in vessel selection

Answer 1

accessibility, arterial occlusion

Question 2

those that lie closer to surface are preferrable than those deep in tissue

Answer 2

accessiblity: superficial/deep

Question 3

scar tissue is difficult to dissect through than tissue that has never been incised

Answer 3

accessiblity: surrounding structures

Question 4

accessibility for vessel selection

Answer 4

superficial/deep; surrounding structures; size (diameters); proximity to aorta; accessibility for drainage from corresponding vein

Question 5

factors governing selection of arteries for injection

Answer 5

age; weight (corpulence); disfiguration; disease; edema; obstruction; trauma; medico-legal requirements; cause and manner of death

Question 6

most common method. cut made from edge of vessel to center of vessel. angle of cut goes 90 degrees parallel to directon of flow from blood; make incision with scalpel, scissors

Answer 6

transverse incision

Question 7

made obliquely; not 90 degrees to direction of blood flow during life

Answer 7

diagonal incision

Question 8

for drain tube; combination

Answer 8

“T” incision

Question 9

form 3 sided area on surface of vessel; recommended for sclerotic arteries

Answer 9

wedge incision; triangular

Question 10

most pop. looks similar to baseball stiches

Answer 10

baseball stitch

Question 11

only has 2 stitches that penetrate skin; first and last; least leak proof incision; forms least prominent ridge; use on forehead region, cheek region

Answer 11

intradurmal

Question 12

one end proceed with stitches; once done bring out needle and pull stitches together

Answer 12

single intradurmal

Question 13

start closing at 1 end then start with another needle at opposite end; more leak proof

Answer 13

double intradurmal

Question 14

most leak proof; spinal autopsy

Answer 14

lock stitch

Question 15

go through both sides of incision

Answer 15

whip stitch (roll)

Question 16

dont pull 2 edges until done; no prominent ridge

Answer 16

draw stitch

Question 17

go around stoma/circular opening from surgery. can use trocar button with stitch

Answer 17

purse string stitch

Question 18

one location used for both injection and drainage on nonautopsied infant/adult

Answer 18

one point injection

Question 19

injection from one location and drain from another

Answer 19

split injection

Question 20

injection from 2 or more arteries; in autopsied case; ensures better distribution throughout the body

Answer 20

multipoint injection

Question 21

both common carotid arteries are raised by a half moon incision/ 2 incisions; allows head to be injected seperately

Answer 21

restricted cervical