Vascular Medicine

Question 1

PAD is an independent risk factor for…

Answer 1

1. 4x more likely to die within 10 years
2. CV morbidity and mortality
   - same RR of CVD as those w/CAD and CVD
3. Limb loss
   - PAD accounts for 80-90% of amputations

Question 2

Surgical Revascularization: Endarterectomy

Answer 2

surgical excision and removal of arterial plaque

*often combined with patch plasty

Question 3

Surgical Revascularization: Embolectomy

Answer 3

Removal or arterial or venous thrombus; often done in hybrid surgical/endovascular fxn

*using a balloon to remove it

Question 4

Endovascular Therapy:

1. angioplasty
2. atherectomy

Answer 4

1. balloon–>open artery
2. directional, orbital, laser, extraction catheters to remove arterial plaques

*can add a stent to either

Question 5

Endovascular Therapy: Filters

Answer 5

Prevent embolization

• IVC (usually infra-renally)
• carotid, coronary, peripheral distal embolization filters

Question 6

Rose Claudication Questionnaire

Answer 6

1. External calf (buttock, thigh, or foot) pain-causes pt to stop walking
2. reproducible w/exercise
3. Resolves w/in 10 minutes of rest
4. Does NOT begin at rest

Question 7

Reasons for asymptomatic PAD presentation

Answer 7

40% of PAD pts

chronicity, collaterals, comorbid dz, activity level, pain threshold, ambition