Vascular Flashcards
1
Q
Where does arterial occlusive disease present typically in diabetics vs. smokers?
A
DM: Tibial or infrapopliteal disease
Smokers: SFA disease
2
Q
What are two good bypass options for the SMA?
A
Supraceliac aorta or the common iliac artery
3
Q
Which thigh compartment is the least likely to develop compartment syndrome and can therefore be omitted from fasciotomy?
A
Medial compartment
4
Q
Where and when do you tunnel grafts for an aortobifem?
A
Before heparinization, under the ureter
5
Q
What is the advantage of a trans peritoneal approach vs. retroperitoneal approach to the aorta?
A
- Transperitoneal provides better access to R sided vessels (iliac, R renal)
- Retroperitoneal has less blood loss, less bowel manipulation and ileus, less incisional pain, less pulmonary atelectasis & infection and more proximal explored of the aorta
6
Q
In a lower extremity fasciotomy, which compartment is affected by ischemia first?
A
Anterior compartment
7
Q
What is considered significant venous reflux?
A
> 0.5 seconds
