Vascular Ch. 19 & 20 Flashcards

1
Q

Information gathered about the superficial veins include

A

vein patency, position within the limb, depth, diameter

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2
Q

Vein mapping allows for selection of optimal vein can alter ____ and _____, and minimize the amount of

A

planned surgery, surgical approach, surgical dissection

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3
Q

GSV is a single trunk medially in thigh with several large tributaries at what percent

A

60%

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4
Q

The closed loop system can cause

A

difficulties for surgeons passing instruments

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5
Q

Main trunk of saphenous vein lies in saphenous compartment which is

A

bounded by saphenous fascia superficially and muscular fascia deeply

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6
Q

The intersaphenous vein connects

A

SSV and GSV

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7
Q

What do perforating veins do

A

perforate the muscular fascia and connect the superficial system to the deep system

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8
Q

What can be created if not litigated

A

arteriovenous fistula

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9
Q

Where does the basilic vein terminate and what does it form

A

brachial vein, axillary vein

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10
Q

What is a pitfall during the exam

A

very easy to compress the vein since it is so superficial

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11
Q

If the vein appears elliptical, most likely due to

A

too much pressure

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12
Q

When GSV is in saphenous compartment, what does it appear as

A

egyptian eye

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13
Q

Dilated, tortuous portions of the saphenous system are called

A

varicosities

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14
Q

What is recanalization

A

previously thrombosed vein becomes partially or completely patent

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15
Q

What do CVIs focus on

A

valvular disorders only

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16
Q

Chronic venous insufficiency is an ______ because it fails to differentiate between ____ and ______

A

incomplete term, valvular, obstructive disease

17
Q

Superficial epigastric vein (SEV) of saphenofemoral junction is a

A

tributary used as a landmark for thermal ablation treatment

18
Q

Incompetent valves allow

A

abnormal retrograde flow

19
Q

CVI and varicose veins are a common finding and often associated with

A

telangiectasias

20
Q

Lymph edema will appear how on ultrasound

A

enlarged hypoechoic channels in the lower leg and foot

21
Q

What is recommended in order to minimize patient discomfort

A

exam order

22
Q

What is the first thing on the exam order

A

most symptomatic or affected thigh

23
Q

What can also be used to screen for reflux

A

transverse color flow images

24
Q

What can cause venous filling

A

reverse venous flow

25
What is another compression method
parana maneuver
26
What is most commonly associated with chronic venous obstruction during B-mode ultrasound
fibrous strands observed with a vessel lumen
27
What is the normal valve closure time for saphenous veins
<500ms
28
What is the normal valve closure time for femoral vein
<1000ms
29
What does PPG emit
infrared light
30
What is recovery time for PPG
>20s
31
During PPG, what is suspected with refill times <20s
reflux
32
Diagnostic criteria for APG, residual volume (RV) is normally
<20%-35%
33
What is in situ
use saphenous and stays in vascular bed, original area
34
What is ligation
tying of a vein through a small incision in the skin to prevent pooling of blood
35
What is another name for the cranial extension of the small saphenous vein and where does it terminate
vein of giacomini, popliteal vein (20% above the popliteal fossa)
36
Very light pressure should be used so as not to
compress the vessel