Vascular surgery

Question 1

Define Arterial Embolectomy

Answer 1

Removal of thromboembolic matter in an artery

Question 2

Anatomy and Physiology Arterial Embolectomy

Answer 2

Femoral triangle
Common femoral; deep and superficial femoral arteries
Popliteal, and tibial arteries
Physiology: Circulation; blood supply to limb

Question 3

Pathology/ Indication Arterial Embolectomy

Answer 3

Thrombus (blood clot) lodged in an artery

Question 4

Define Angioscopy

Answer 4

Visual exam, vessel

Question 5

Anatomy and Physiology Angioscopy

Answer 5

emoral, popliteal or tibial artery

Physiology: blood supply to leg

Question 6

Pathology/Indication Angioscopy

Answer 6

evaluate blood supply/blockage or verify clearance of a blockage

Question 7

Define Vein stripping/ligation

Answer 7

Removal of enlarged, distended veins

Question 8

Anatomy and Physiology Vein stripping/ligation

Answer 8

Greater and lesser saphenous veins; valves

Physiology: drain blood from lower extremities

Question 9

Pathology/Indication Vein stripping/ligation

Answer 9

Incompetent venous valves caused by and contributing to venous distention

Question 10

Define Venous Access: Insertion of Groshong Catheter

Answer 10

Placement of an intravenous access device

Question 11

Anatomy and Physiology Venous Access: Insertion of Groshong Catheter

Answer 11

Subclavian vein into superior vena cava
If arm is used:
Brachial/basilic veins or cephalic vein
Physiology: for vascular system is circulation

Question 12

Pathology/Indication Venous Access: Insertion of Groshong Catheter

Answer 12

Catheter:
     Long term need for antibiotic therapy
          osteomyelitis
Port:
     Chemotherapy for cancer

Question 13

Define Vena Cava Filter Insertion

Answer 13

Placement of a filtering device in the inferior vena cava (intravascular)

Question 14

Anatomy and Physiology Vena Cava Filter Insertion

Answer 14

Femoral vein; femoral triangle; vena cava

Physiology: circulation

Question 15

Pathology/Indication Vena Cava Filter Insertion

Answer 15

DVT (Deep vein thrombosis) when heparin therapy is ineffective or contraindicated

Question 16

Define Transvenous pacemaker insertion

Answer 16

Placement of intracardiac pacing leads through a vein and attaching a generator

Question 17

Anatomy and Physiology Transvenous pacemaker insertion

Answer 17

Subclavian vein into superior vena cava
If arm is used:
Brachial/basilic veins or cephalic vein
plus the intrinsic electrical conduction system of the heart
Physiology: for vascular system is circulation

Question 18

Pathology/Indication Transvenous pacemaker insertion

Answer 18

Cardiac electrical conduction disturbances
Examples: Complete heart block
Bradydysrrythmias (slow heart heart rhythms)
Bradycardia (slow heart rate)

Question 19

Electrical conduction pathwa

Answer 19

S-A node
A-V node
A-V bundle
Right and left bundle branches
Purkinje fibers (myoconduction fibers)