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Flashcards in Vascular Surgery Deck (17):
1

Amaurosis fugax

Sudden onset transiet ulinateral blindness - shade pulled over one eye

Related to TIA

2

Define Sx carotid stenosis

TIA or stroke in past 6 months

3

If pt with carotid stenosis is Sx, what is Tx

Stenosis >70-99% = CEA

50-60% = CEA if man, >75 yrs, recent stroke (not TIA), pts w/ hemispheric Sx rather than transiet monocular blindness

4

If pt w/ carotid stenosis is asymptomatic, what is Tx

stenosis 60-99% CEA is indicated

<60% medical management 

5

Medical management carotid stensosi

AntiHTN meds

Statins

Antiplatelet Tx

6

ABI normal

ABI mild disease

ABI moderate disease

ABI severe disease

0.9-1.2

0.8-0.9

0.5-0.8

<0.5

7

Tx claudication

Smokeing cessation

Exercise

Control Chol, DM< HTN

Antiplatelet: ASA or clopidogrel

Cilastazol if intermittent

Beta blockers may worsen but some may need (prior MI)

8

When to consider revascularization in PVD?

Rest pain in forefoot at night relieved with foot over bed, cannot continue current lifestyle

9

Gold standard eval PVD

CT angio

10

Leriche syndrome

claudication buttocks, buttock atrophy, importence in men

Aortoiliac occlusive disease

Need bypass graft or stent or endograft

11

Postprandial abdominal pain related to vascular problem

Meseneric ischemia

12

Cause subclavian steal syndrome

Left subcalvian artery obstruction proximal to origin of vertebral artery

TO get blood to arm, steals from vertebrobasilar system - CNS Sx (Vertigo, syncope, confusion, ataxia) w/ UE claudication during exercise

13

Tearing or ripping chest pain

Aortic dissection

14

Localized leg pain, varicose veins, superficial cordlike induration, reddish discoloration, mild fever

Tx

Superficial thrombophlebitis

NSAIDS

Do not need anticoagulation

15

UE paresthesias, weakness, cold extremities, edema, venous distension

Thoracic outlet syndrome

Absence of CNS sx = not subclavian steal

16

Cause thoracic outlet

Cervical ribs

Anomalous ligaments

Cervical trauma

Muscular hypertrophy

17