Peripheral Vascular Disease

Question 1

What is intermitten claudication?

Answer 1

When there is insufficient blood reaching an exercising muscle. Slide 6

Question 2

What is ABPI and what is it used for?

Answer 2

Ankle Brachial Pressure Index.
Used to determine if there is any peripheral vascular disease.
Slide 13

Question 3

What can lead to unaccurate ABPI readings?

Answer 3

Calcified vessels or Doppler Signal. Slide 14

Question 4

What does the Duplex ultrasound scan allow?

Answer 4

Can asses the flow of blood and the rate at which the blood is flowing. Slide 15

Question 5

What are the invasive investigations to check forperipheral vascular disease?

Answer 5

Magnetic Resonance Angiography (MRA)
CT angiography
Catheter angiography
Slide 16+17

Question 6

What treatment can you administer to try and prevent lower limb ischaemia?

Answer 6

Stop smoking
Lipid lowering
Antiplatelets
Hypertension drugs
Diabetes drugs
Slide 18

Question 7

If there is a narrowing in a vessel what treatment can be done?

Answer 7

Angioplasty with/without stent
Inflow bypass or outflow bypass
Slide 20-22

Question 8

What does a patient present with if they have critical limb ischaemia?

Answer 8

Pain at rest in their toes or forefoot
Worse at night and hepled by sitting and putting leg in a dependent position.
Ulcers
Damage
Slide 23+24

Question 9

Where are the possible lower limb amputations?

Answer 9

Transtibial
Through Knee
Transfemoral
Hip Disarticulation. Slide 26