Vascular Flashcards
<2-3cm pseudoaneurysm management
Observe with serial US Q2wks
Catheter related thrombosis, tx
Therapeutic anticoagulation
VTE for major abdominal or pelvic surgery for cancer
4wks
Diagnostic test for venous hypertension resulting in dialysis access issues
Fistulogram
Conduit of choice for peripheral bypass graft
Autogenous vein
Reason for graft failures within 30days
Technical, embolization, inadequate outflow, coag disorder
Reason for graft failure 1mo to 2 yrs
Intimal hyperplasia
Reason for graft failure > 2yrs
Atherosclerosis
Abdominal pain and bloody diarrhea s/p AAA repair; dx and next step
Colonic ischemia, colonoscopy, resuscitate and antibiotics
How to prevent life or limb threatening ischemia during AAA repair
Flush through internal iliac artery system
Most common location for an embolic event
Common Femoral Artery
Diagnostic imaging suppurative thrombophlebitis
duplex US
Important landmark during carotid endarterectomy
Facial vein, division provides exposure to carotid bifurcation
Diabetic with lower extremity sepsis; tx
Debridement vs amputation, revascularization later
Post-thrombotic syndrome; next step in management
LE venogram to determine possible tx
Increased risk for post-op renal dysfunction during AAA repair
Age, CKD, Supraceliac clamping
Acute mesenteric ischemia due to embolic event; next step
Resuscitate, abxs, anticoagulation, followed by expeditious laparotomy
Dyspnea, pleuritic chest pain, cough after cross country flight; dx
PE
Endoleak types
I - poor graft seal
II - side branch
III - graft defect
IV - Porous graft
V - No identifiable leak
Type of endoleaks that require immediate repair
Type 1 and 3
Severe hand pain in dialysis access limb without vascular concern; dx and tx
Ischemic monomelic neuropathy, ligation
Management of grade I blunt traumatic aortic injury
BP <100mg and Pulse <100
SVC syndrome initial tx
Balloon angioplasty with stent placement
Uncomplicated large or failed resolution of small pseudoaneurysm tx
US guided thrombin injection
Septic thrombophlebitis tx
Abxs and excision of superficial vein
Absolute indications for IVC filter placement
Contraindication to anticoagulation, recurrent thromboembolic dz despite tx, significant bleeding complication while on anticoagulation
Pain out of proportion and pain with passive flexion, dx
Compartment syndrome
Consideration for dialysis
GFT 10-15 with uremic symptoms or GFR 6 or less
Dialysis access site decision tree
Non-dominant hand, distal on extremity using own veins
Requirements for AV fistula
Vein 2.5, art 2, no stenosis or calcification, patent palmer arch
Requirements for AV fistula
Vein 2.5, art 2, no stenosis or calcification, patent palmer arch
Most common form of thoracic outlet syndrome and initial tx
Neurogenic, PT
Thoracic outlet syndrome that fails to improve with conservative management; next step
Rib resection, scalenectomy, dissection of brachial plexus
Most common affected artery fibromuscular dysplasia
Renal artery
Chronic venous insufficiency tx
Compression, wound care, exercise
Traumatic knee dislocation with popliteal injury; tx
Contra lateral saphenous vein graft
