Vascular surgery

Question 1

Pain brought about by walking and relieved by rest

Answer 1

Intermittent claudication due to arteriosclerotic occlusive disease (no work up if life is not interfered)

Question 2

Work up of disabling intermittent claudication

Answer 2

• Doppler studies (look for pressure gradient)

Question 3

Neg doppler studies for intermittent claudication indicates

Answer 3

the disease is in the small vessels and not amenable to surgery

Question 4

Doppler studies show significant pressure gradient NSIM?

Answer 4

• CT angio or

- MRI angio

Question 5

Short stenotic segments of lower extremities arteriosclerotic occlusive disease is treated by

Answer 5

angioplasty and stenting

Question 6

Long and more extensive stenotic segments of lower extremities arteriosclerotic occlusive disease is treated by

Answer 6

bypass grafts
sequential stents
longer stents

Question 7

Grafts originating at the aorta (aortobifemoral) are done with

Answer 7

prosthetic material

Question 8

Bypass between more distal vessels (femoropopliteal or beyond) are usually done with

Answer 8

reversed saphenous vein grafts

Question 9

Tx for incomplete arterial emoblization occlusion

Answer 9

clot busters

Question 10

Tx for complete arterial emoblization occlusion

Answer 10

fogarty catheter

and fasciotomy if several hours have passed before revascularization