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Questions and Answers

Which surgical approach may be considered for patients who cannot tolerate an extensive vascular surgical procedure?

  • Primary amputation (correct)
  • Bypass
  • Endarterectomy
  • Heparinized solution
  • What is the purpose of placing the graft in a heparinized solution?

  • To enhance blood flow
  • To reduce the risk of infection
  • To promote tissue regeneration
  • To prevent dryness and brittleness (correct)
  • Which of the following is NOT mentioned as an alternative to primary amputation?

  • Endarterectomy
  • Bypass
  • Heparinized solution (correct)
  • None of the above
  • What is the purpose of a palliative approach in vascular surgery?

    <p>To provide temporary relief</p> Signup and view all the answers

    Which solution is used to keep the graft from becoming dry and brittle?

    <p>Heparinized solution</p> Signup and view all the answers

    What is the alternative to an endarterectomy or bypass mentioned in the text?

    <p>Primary amputation</p> Signup and view all the answers

    What may happen if the graft becomes dry and brittle?

    <p>It may fail to function properly</p> Signup and view all the answers

    Which surgical procedure is NOT mentioned as a potential option for patients who cannot tolerate an extensive vascular surgical procedure?

    <p>Heparinized solution</p> Signup and view all the answers

    What is the purpose of heparinization in relation to the graft?

    <p>To prevent blood clotting</p> Signup and view all the answers

    When might primary amputation be considered as a surgical approach?

    <p>For patients who cannot tolerate extensive vascular surgery</p> Signup and view all the answers

    Which of the following is a requirement for reimbursement of a SET program?

    <p>SET must be administered under direct provider supervision</p> Signup and view all the answers

    What type of healthcare professional must be immediately and physically available during the provision of SET?

    <p>Physician assistant</p> Signup and view all the answers

    What is the main finding of the two recent trials comparing supervised and unsupervised walking programs in patients with PAD?

    <p>There is no significant difference in therapeutic benefit between supervised and unsupervised walking programs</p> Signup and view all the answers

    What does the text suggest about home-based programs for patients unable to participate in a structured, on-site, supervised exercise program?

    <p>They may be a viable and efficacious option</p> Signup and view all the answers

    What additional lifestyle changes can further improve activity tolerance in patients with claudication?

    <p>Weight reduction and cessation of nicotine use</p> Signup and view all the answers

    What should patients not be promised if they stop using nicotine?

    <p>Their symptoms will be relieved</p> Signup and view all the answers

    What is the purpose of a SET program?

    <p>To improve symptoms of claudication</p> Signup and view all the answers

    What is the coverage for SET programs by insurance?

    <p>Coverage for a specific number of sessions</p> Signup and view all the answers

    What type of training must the person providing program supervision have?

    <p>Training in both basic life support and advanced cardiac life support techniques</p> Signup and view all the answers

    What is an attractive option for patients with limited access to a SET program?

    <p>Unsupervised walking exercise programs</p> Signup and view all the answers

    Which of the following interventions effectively improves physical fitness, central cardiorespiratory function, and walking capacity in patients with claudication?

    <p>Arm-ergometer exercise training</p> Signup and view all the answers

    Which of the following endovascular procedures has been shown to reduce the risk of restenosis?

    <p>Stent</p> Signup and view all the answers

    When is surgery reserved for the treatment of peripheral arterial disease?

    <p>All of the above</p> Signup and view all the answers

    What is the surgical procedure of choice if the atherosclerotic occlusion is below the inguinal ligament in the superficial femoral artery?

    <p>Femoral-to-popliteal graft</p> Signup and view all the answers

    What type of graft may be used to reroute blood flow around a stenosis or occlusion?

    <p>Autologous vein graft</p> Signup and view all the answers

    What is the distal outflow vessel requirement for a bypass graft to remain open?

    <p>At least 50% patent</p> Signup and view all the answers

    What factors determine how long a graft remains patent?

    <p>All of the above</p> Signup and view all the answers

    What may result in sepsis and require removal if infected?

    <p>Synthetic grafts</p> Signup and view all the answers

    What must be done in the operating room to check the competency of a vein graft?

    <p>All of the above</p> Signup and view all the answers

    What type of vein may be used as an autologous conduit for a bypass graft?

    <p>All of the above</p> Signup and view all the answers

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