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Spoed > Vasculaire pathologie > Flashcards

Vasculaire pathologie Flashcards

1
Q

Type A dissectie

A

Aorta ascendes

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2
Q

Type B dissectie

A

Aorta descendens

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3
Q

Aneurysma

A

1.5 x vatverwijding

Aorta > 3 cm

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4
Q

Behandelen aneurysma

A

Vrouwen vanaf 5, mannen vanaf 5,5

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5
Q

Intramuraal hematoom

A

Gestold bloed tussen media en intima

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6
Q

Open reconstructie

A

Aneurysma
Vervangen stuk aorta
Als afstand tot aa renales te kort is

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7
Q

EVAR

A

Vrijwel alle aneurysmata

Stent via a. femoralis

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8
Q

Ischemie symptomen

A

Pijn
Koud
Bleek
Afwezige sensibiliteit, pulsaties, motoriek

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9
Q

Rutherford classificatie I

A

Acuut bedreigd
Goede sensibiliteit en motoriek
Endovasculaire thrombolyse <1-3 dagen

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10
Q

Rutherford classificatie IIA

A

Veel pijn, onhoorbare dopplertonen
Geen spierzwakte
Endovasculaire thrombolyse < 24 uur

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11
Q

Rutherford classificatie IIB

A

Veel pijn, onhoorbare dopplertonen
Spierzwakte, sensibiliteits klachten
Binnen enkele uren thrombolectomie met revascularisatie

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12
Q

Rutherford classificatie III

A

Irreversibel

Amputatie nodig

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13
Q

Directe behandeling ischemie

A

Heparine

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14
Q

Followup ischemie

A

Orale antistolling en achterhalen oorzaak

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Spoed (26 decks)

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