Breast & Vascular Flashcards
1
Q
Indications for graft?
A
2
Q
Graft types & specific indications?
A
3
Q
Graft complications
A
Failure
Thrombosis and embolization
Anastomotic leak
Graft infection
4
Q
Critical ischaemia - surgical interventions
A
Anatomical: fem-pop, fem-distal, aortobifemoral
Extra-anatomical: axillo-fem / -bifem, fem-fem crossover
Other interventions
- Endarterectomy: core-out atheromatous plaque
- Sympathectomy: chemical (EtOH injection) or surgical
- Amputation
5
Q
Critical ischaemia - endovascular management
A
Percutaneous Transluminal Angioplasty ± stenting
- Good for short stenosis in big vessels: e.g. iliacs, SFA
- Lower risk for pt.
- performed under LA as day case
- Improved inflow → ↓ pain but restoration of foot pulses is required for Rx of ulceration / gangrene.
6
Q
Risk factors for DVT
A
Modifiable
- recent immobilisation e.g. surgery
- malignancy
Non modifiable
- age
- female
7
Q
Acute limb ischaemia signs
A
Pallor
Pulseless
Paraesthesia
Cold
Paralysis
