Vascular treatment options

Question 1

Acute vascular problems

Answer 1

embolus, thrombosis in situ, trauma

Question 2

Chronic vascular problems

Answer 2

Micro-emboli, atherosclerosis

Question 3

what % of diagnostic angiograms lead to amputation?

Answer 3

1%

Question 4

What % of bypass lead to amputation within 2 years?

Answer 4

30-50%

Question 5

What order of imaging in vascular patients?

depending on the patient these will help determine treatment

Answer 5

1. USS
2. Computed tomography angiography
3. Magnetic resonance angiography
4. Digital subtraction angiography

Question 6

uses for USS?

Answer 6

patency of individual vessels, identify suitable vessels for graft

Question 7

advantages of interventional radiology vs surgery

Answer 7

less invasive
smaller wound
local anaesthetic
can be repeatable
outpatient procedure

Question 8

Disadvantages of interventional radiology vs surgery

Answer 8

large dose of nephrotoxic contrast
risk of distal embolisation
risk of arterial trauma
technical feasibility

Question 9

What is endarterectomy

Answer 9

surgical removal of plaque from an artery that has become narrowed or blocked