20 Cards Flashcards
(12 cards)
Investigation choice for varicose veins
duplex us - superficial and deep venous systems for evidence of reflux or obstruction
Conservative approaches to chronic venous insufficiency
Leg elevation, exercise and compression therapy
second line management of varicose veins after conservative
Endo venous ablation with laser or radiofrequency
Contraindications to lower extremity endovenous ablation
Acute DVT, superficial thrombophlebitis, pregnancy, moderate to severe PAD due to risk for non healing ulcers
Opinions of foam sclerotherapy for treatment of varicose veins
Treatment of superficial varicosities, doesn’t meet the same long term benefits that ablation does
Opinions on ligation and stripping for varicose veins
Used to be the standard for primary varicose veins but it has been superseeded by less invasive techniques. Patients with PAD may need their long saphenous vein for reconstructive bypass surgery
Where do 80-90% of abdominal aortic aneuryms occur
Infrarenal segment of the aorta
AAA surveillance interval for AAA 3-3.9cm
24 months
AAA surveillance interval for AAA 4.0-4.5
12 months
AAA surveillance interval for AAA 4.6-5.0
6 months
AAA surveillance interval for AAA >5cm
3 months
Intermittent claudication - not relived by initial management
Angioplasty