Vascular

Question 1

risk of death ith PCI range

stroke risk

MI

emergency surgeyr

Answer 1

0.5-1.9 (higher ith ACS or surgical turn down)

less than half a percent

MI < 1 percent to 17% depending on definition

Emergency surgery < 0.5 percent

Question 2

ST concern w/ bival

Answer 2

possilbe high intraprocedural ST than heparin

Question 3

dissection scores A-F

Answer 3

Type A - luminal haziness

Type B- linear disscetion

Type C extraluminal contrast stain

Type D - sprial

Type E - dissection w reduced flo

Type F dissection ith CTO

Question 4

length of time can run rota

if dissect ao how do you decide if one needs emergent surg

Answer 4

15 sec

oneill class 3 ipsi cups > 4 mm upwards and AI consider

Question 5

coronary perforation grades ellis classification

Answer 5

grade 1 extraluminal cratetr without extrav

grade 2 pericardial or myocardial blush

grade 3 free floing frank extrav > 1 mm perf A –> perciardium, B myocardia

Question 6

mortallity rate from grade 3 perf

Answer 6

10%

Question 7

dose of epi for anaphylaxis

hypdrocort dose

Answer 7

1:10,000 (how much you ill get sued for and pay)

100-200 mg

Question 8

1. PAD what abi gets you in?
2. what does this buy you
3. Only indication to treat PAD in an asx person–> vascular access for another procedure
4. exercise
5. Cilsotazol dosing

Answer 8

1. < 0.9
2. medical rx for pad –> asa or if cant take plavix, lipid, smoing cessation
   - no indication for ppx angioplasty….
3. Only indication to treat PAD in an asx person–> vascular access for another procedure
4. exercise - supervised or structured.
5. 100 mg bid—>

Question 9

exercise trial shoing improved function (2)

Answer 9

clever - iliac no difference, ERASE - synergy w/ exercise and revasc

exercise vs. stent its a draw. but if both the combo wins.

Question 10

1. most dangerous artery in the body
2. iliac patency -
3. aoiliac out of favor why?
4. recent study on BE vs. SE
5. covered stents in only in ilac

Answer 10

1. external iliac -
2. 70% at 5 years
3. 80% impotency and higher mort.
4. SE is better
5. more complex –> TASC C and D. no advatage.

Question 11

most improtant factor on whether need to stent per dr. hite.

Answer 11

lesion length.

Question 12

fempop patency

mort with the procedure

patenebcy at 5 years fem infrapot

Answer 12

60-80% 5 years, need a vein, 1-3% mortality rate.

a18% w/PTFE, and 74% w/ vein.

Question 13

rx for cli (3)

CLI PTA vs. Surgery RCT

DES vs. BMS btk

Answer 13

statins, antiplts, ace for bp control

lancet poba to surgery –> 2 years as higher survival

DES wins big, DCB dont work below the knee.

Question 14

rule of thumb with revasc in CLI.

Answer 14

dont stage get in line flow all the way down to the pedal arch

Question 15

what suggests emboli

Answer 15

source –> afib

sudden onset never had sx before

normal pulses in the other side.

Question 16

testing point for ALI

Answer 16

cut off of 14 days, less than 14 days lysis is better

patients with ALI

Question 17

1. Renal intervention only indicated when?
2. patients with Claudication risk of an adverse event at stroke mi, death over 3 years
3. vocational limiting

Answer 17

1. refractory hypertension 3 drugs one on diuretic (coral said have to be on medical therapy)
2. 12%
3. get out of jail card for early revasc.

Question 18

CEA risk reduction

asx patients when do revasc

Answer 18

25-50% decrease in risk for those ith 70% or more stenosis on US and > 50% stenosis on angio and sx and those w/ 60% stneosis on noninvaisve imaging and are asx.

asx do when there is a low risk for adverse events.

must have a life expectancy of 5 years as a prerec for any cea

Question 19

medical plt therpay around CEA

CAS

Answer 19

asa 81 to 325

dapt for min 30 days after