Vascular Flashcards
Pain in the buttock when walking
common / Intenral iliac stenosis
Pain in the thigh when walking
common / external iliac artery stenosis
Pain in the calve when walking
Superficial femoral artery stenosis
Typical narrowing of superficial femoral artery
Narrowed at adductor canal
BMT for vascular disease
Smoking cessation *****
Control of HTN
Statin
Single anti-platelet
Graduated exercise program
Weight-loss
IC due to aortooliac disease
Balloon angioplasty + kissing iliac stents
-good 5 year patency
Three requirments for by-pass:
There must be high-flow, high-pressure blood entering the graft (inflow)
The conduit must be suitable
The blood must have somewhere to go when it leaves the graft (outflow or run-off).
Indications for carotid end-arterectomy
- There is a high degree of internal carotid artery stenosis (usually taken as a greater than 60–70% diameter reduction)
- The patient is expected to survive at least 2 years
- The intervention can be undertaken with a stroke and/ or death rate of less than 3–5%
- The intervention can be performed soon after the index event
Primary stenting for atherosclerotic renal
artery disease may be considered
Refractory hypertension not responsive to medical therapy
To preserve renal function
Subcritical ischaemia
Rest / night pain
Critical ischaemia
Tissue loss
Non-critical ischaemia
Intermittent claudication
aortic bifurcation (saddle) embolus
Paraplegia due to corda equina ischaemia
White marble mottling to waist
Absent femoral pulses
Infectious causes of aneurysms
Arteries are generally resistant to infection, but
two organisms:
- Treponema pallidum (syphilis)
- Salmonella
Have a particular ability to produce primary mycotic aneurysms
