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21 Cards in this Set
- Front
- Back
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what is claudication
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limp, from obstruction of vascular flow in legs
effort induced ischemia |
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how prevalent is PAD
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20% in those over 70, half are symptomatic
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Pain in upper thigh/ hips
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occlusion of aortoilliac segment
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pain in calf?
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femoral popliteal, most common
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What are the symptoms of tibioperoneal occlusion?
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NO claudication or pain (not enough muscle in foot to perform anaerobic metabolism and cause pain)
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what is the prognosis for Critical LImb Ischemia?
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50% will lose limb in 5 years; you need more aggressive treatment
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How do you treat Claudication?
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DOES NOT REQUIRE REVASCULARIZATION
toss the cigarettes cholesterol and diabetes control anti platelet if impeding lifestyle: surgical therapy |
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what is the prognosis for Critical LImb Ischemia?
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50% will lose limb in 5 years; you need more aggressive treatment
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endovascular vs surgical bypass
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endo: less morbidity, shorter lessions, better for stenoses, less durable, repeat 2-3 times
sugical: more morbid, not limited to occ or sten, or lession length |
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How do you treat Claudication?
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DOES NOT REQUIRE REVASCULARIZATION
toss the cigarettes cholesterol and diabetes control anti platelet if impeding lifestyle: surgical therapy |
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endovascular vs surgical bypass
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endo: less morbidity, shorter lessions, better for stenoses, less durable, repeat 2-3 times
sugical: more morbid, not limited to occ or sten, or lession length |
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how should you treat assymptomatic Carotid artery stenosis?
what is the most common location? |
REPAIR! improves survival and reduces stroke (if >60% occlusion)
bifurcation of common carotid a. |
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What medical therapy is used for carotid stenosis?
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risk factor reduction: lipid and BP management
antiplatelet, ASA clopidogrel doppler ultrasound |
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how should you treat assymptomatic Carotid artery stenosis?
what is the most common location? |
REPAIR! improves survival and reduces stroke (if >60% occlusion)
bifurcation of common carotid a. |
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What medical therapy is used for carotid stenosis?
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risk factor reduction: lipid and BP management
antiplatelet, ASA clopidogrel doppler ultrasound |
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what are some sypmtoms of carotid stenosis?
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amaurosis fugax: loss of visoin in one eye due to piece of debris
Arm weakness: embolization to the middle cerebral artery TIA- transient stroke |
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what are some sypmtoms of carotid stenosis?
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amaurosis fugax: loss of visoin in one eye due to piece of debris
Arm weakness: embolization to the middle cerebral artery TIA- transient stroke |
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what is safer for high risk patients with carotid stenosis?
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Stents
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what are criteria for high phys risk and high anatomic risk?
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phys: carida dysfunciotn, combined vascularization, pulmonary dysfunciont
anatomic: occlusion of other artery, scarring of artery, low in chest, or close to brain |
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what is safer for high risk patients with carotid stenosis?
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Stents
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what are criteria for high phys risk and high anatomic risk?
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phys: carida dysfunciotn, combined vascularization, pulmonary dysfunciont
anatomic: occlusion of other artery, scarring of artery, low in chest, or close to brain |
