Vascular surgery Flashcards
Initial investigations of acute limb-threateneing ischaemia?
Handheld arterial doppler examination
Peripheral arrteru disease first line imaging?
Duplex US
Recommended treatment for superficial thrombophlebitis
Compression stockings
NSAIDs
lmwh
What is lipodermatosclerosis?
hard and tight skin, and hyperpigmentation due to haemosiderin deposition. These findings support the diagnosis of chronic venous insufficiency
What is clopidogrel?
An antiplatelet
What age does AAA screening start?
Single abdominal US at aged 65
Inital management of acute limb ischaemia?
Analgesia
IV heparin
Vascular review
What is subclavian steal syndrome due to?
Due to proximal stenotic lesion of the subclavian artery
WHat does subclavian steal syndrome result in?
Results in retrograte flow through vertebral or internal thoracic arteries
The result is that decrease in cerebral blood flow may occur and produce syncopal symptoms
When are open surgical techniques used in PAD?
long segment lesions (> 10 cm), multifocal lesions, lesions of the common femoral artery and purely infrapopliteal disease
When are endovascular revascularisation techniaques used in PAD?
short segment stenosis (e.g. < 10 cm), aortic iliac disease and high-risk patients
Dosage of clopidogrel in PAD?
75mg
What is an ABPI of more than 1 caused by?
Hardening of the vessels being measured
What is Marjolin’s ulcer?
squamous cell carcinoma occurring at sites of chronic inflammation or previous injury.
Severe PAD or critical limb ischaemia may be treated by what>
Endovascular revascularisation or surgical revascularisation
