Podcast
Questions and Answers
What is the popliteal?
What is the popliteal?
Artery of the knee
What are the azygos?
What are the azygos?
Veins of the thoracic wall
What does mesenteric refer to?
What does mesenteric refer to?
Abdominal organs - bowel of the colon
What is the circle of Willis?
What is the circle of Willis?
What is the cephalic?
What is the cephalic?
What is the brachiocephalic?
What is the brachiocephalic?
What does the portal refer to?
What does the portal refer to?
What is the iliac?
What is the iliac?
What is the carotid?
What is the carotid?
What is the dorsalis pedis?
What is the dorsalis pedis?
What is the saphenous?
What is the saphenous?
What is the peroneal?
What is the peroneal?
What is the profundus femoris?
What is the profundus femoris?
What are aortic bodies?
What are aortic bodies?
What are aortic sinuses?
What are aortic sinuses?
When is a contrast solution needed on the sterile field?
When is a contrast solution needed on the sterile field?
What are hemostatic agents typically used in peripheral vascular surgery?
What are hemostatic agents typically used in peripheral vascular surgery?
How is the irrigation pump set up for angioscopy?
How is the irrigation pump set up for angioscopy?
What is used to confirm normal blood flow in a vessel?
What is used to confirm normal blood flow in a vessel?
What is arteriosclerosis obliterans?
What is arteriosclerosis obliterans?
A type of arteriosclerosis is ___?
A type of arteriosclerosis is ___?
Where does atherosclerosis involvement tend to begin?
Where does atherosclerosis involvement tend to begin?
What implant can be used to hold a vessel open after balloon angioplasty?
What implant can be used to hold a vessel open after balloon angioplasty?
What is a potential complication of an angioplasty?
What is a potential complication of an angioplasty?
What medications can be used during an angioplasty?
What medications can be used during an angioplasty?
What can occur as a result of needle perforation when trying to locate a subclavian catheter?
What can occur as a result of needle perforation when trying to locate a subclavian catheter?
If a guidewire enters the ventricle, what can it cause?
If a guidewire enters the ventricle, what can it cause?
Identify several types of emboli.
Identify several types of emboli.
Identify three types of treatment for embolism.
Identify three types of treatment for embolism.
What are the treatments for a thrombus occlusion?
What are the treatments for a thrombus occlusion?
What catheter is used for an embolectomy?
What catheter is used for an embolectomy?
What is plaque?
What is plaque?
What examinations may be performed to identify a lesion of the common carotid artery?
What examinations may be performed to identify a lesion of the common carotid artery?
What is the primary indication for carotid endarterectomy?
What is the primary indication for carotid endarterectomy?
What is the cause of a transient ischemic attack (TIA)?
What is the cause of a transient ischemic attack (TIA)?
TIAs are forerunners to permanent ___?
TIAs are forerunners to permanent ___?
What are the signs and/or symptoms associated with a TIA?
What are the signs and/or symptoms associated with a TIA?
Identify at least two materials available for vascular grafts.
Identify at least two materials available for vascular grafts.
What instruments are typically used to perform an arteriotomy?
What instruments are typically used to perform an arteriotomy?
What is used to remove the plaque?
What is used to remove the plaque?
Describe the size and characteristics of the suture for closure of the arteriotomy.
Describe the size and characteristics of the suture for closure of the arteriotomy.
Where is the aorta located and which artery is isolated prior to incision?
Where is the aorta located and which artery is isolated prior to incision?
What type of graft must be preclotted prior to the aorta being incised?
What type of graft must be preclotted prior to the aorta being incised?
Why is irrigation performed prior to beginning the anastomosis?
Why is irrigation performed prior to beginning the anastomosis?
What can be used to patch any leaks found in the anastomosis?
What can be used to patch any leaks found in the anastomosis?
What are the priorities for a ruptured AAA?
What are the priorities for a ruptured AAA?
What additional instruments are needed for an aortofemoral bypass?
What additional instruments are needed for an aortofemoral bypass?
Why is it important to use warm wet towels or a bowel bag when displacing the small bowel?
Why is it important to use warm wet towels or a bowel bag when displacing the small bowel?
What can be used as a carrier for vessel ties?
What can be used as a carrier for vessel ties?
How are pledgets typically loaded?
How are pledgets typically loaded?
What device is used to remove valves from an autograft saphenous vein?
What device is used to remove valves from an autograft saphenous vein?
Why is a partial occlusion clamp used during a femoropopliteal bypass?
Why is a partial occlusion clamp used during a femoropopliteal bypass?
What can be used to aid in the visualization of small sutures for loading?
What can be used to aid in the visualization of small sutures for loading?
What are the four types of vessel anastomoses that can be done?
What are the four types of vessel anastomoses that can be done?
What are the most likely vessels to be used for an arteriovenous shunt?
What are the most likely vessels to be used for an arteriovenous shunt?
Why is an arteriovenous shunt or fistula completed?
Why is an arteriovenous shunt or fistula completed?
Describe DVT.
Describe DVT.
How can DVT be life-threatening?
How can DVT be life-threatening?
Using your medical dictionary, define 'claudication.'
Using your medical dictionary, define 'claudication.'
Why are IVC filters used?
Why are IVC filters used?
What types of precautions are needed during this procedure?
What types of precautions are needed during this procedure?
Where is the IVC filter usually placed?
Where is the IVC filter usually placed?
Describe varicose veins and what causes them to develop.
Describe varicose veins and what causes them to develop.
When is treatment for varicose veins indicated?
When is treatment for varicose veins indicated?
Flashcards
Popliteal Artery
Popliteal Artery
Artery located at the back of the knee, supplying blood to the leg.
Azygos Veins
Azygos Veins
Veins within the thoracic wall, aiding drainage.
Mesenteric Vessels
Mesenteric Vessels
Arteries and veins associated with abdominal organs, particularly the colon.
Circle of Willis
Circle of Willis
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Cephalic Vein
Cephalic Vein
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Brachiocephalic Artery
Brachiocephalic Artery
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Portal Vein
Portal Vein
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Iliac Vessels
Iliac Vessels
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Carotid Artery
Carotid Artery
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Dorsalis Pedis Artery
Dorsalis Pedis Artery
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Saphenous Vein
Saphenous Vein
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Peroneal Artery
Peroneal Artery
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Profundus Femoris Artery
Profundus Femoris Artery
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Aortic Bodies
Aortic Bodies
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Aortic Sinus
Aortic Sinus
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Contrast Solution
Contrast Solution
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Hemostatic Agents
Hemostatic Agents
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Angioscopy Irrigation
Angioscopy Irrigation
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Arteriosclerosis Obliterans
Arteriosclerosis Obliterans
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Atherosclerosis
Atherosclerosis
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Transient Ischemic Attack (TIA)
Transient Ischemic Attack (TIA)
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Deep Vein Thrombosis (DVT)
Deep Vein Thrombosis (DVT)
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Angioplasty
Angioplasty
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Embolectomy
Embolectomy
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Vascular Grafts
Vascular Grafts
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Suture for Arteriotomy
Suture for Arteriotomy
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IVC Filter
IVC Filter
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Varicose Veins
Varicose Veins
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Claudication
Claudication
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Anastomosis Types
Anastomosis Types
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Study Notes
Peripheral Vascular Surgery Key Terms
- Popliteal: Artery located at the back of the knee, supplying blood to the leg.
- Azygos: Essentially consists of veins found within the thoracic wall, aiding drainage.
- Mesenteric: Refers to arteries and veins associated with the abdominal organs, particularly the bowel of the colon.
- Circle of Willis: The arterial structure at the brain's base, important for cerebral circulation.
- Cephalic: A major vein in the arm, significant for venous return.
- Brachiocephalic: The innominate artery; the first major branch of the aortic arch.
- Portal: Vein responsible for directing blood through the liver for filtration.
- Iliac: Refers to arteries and veins supplying blood to pelvic organs and the bladder.
- Carotid: Second branch of the aortic arch, crucial for supplying blood to the brain.
- Dorsalis Pedis: Artery that serves the foot, important for lower limb circulation.
- Saphenous: The longest vein in the body, located in the lower extremity.
- Peroneal: Artery that supplies blood to the lower leg.
- Profundus Femoris: Artery responsible for blood supply to the hip and thigh regions.
Medical Definitions and Procedures
- Aortic Bodies: Receptors that monitor blood pressure, and levels of O2 and CO2, regulating cardiovascular function.
- Aortic Sinus: Small dilations found in the ascending aorta, associated with coronary circulation.
- Contrast Solution: Required on sterile fields during intraoperative arteriograms to enhance imaging.
- Hemostatic Agents: Commonly used during vascular surgery include Gelfoam, topical thrombin, Surgicel, and Avitene.
- Angioscopy Irrigation: Involves using a pneumatic pressure cuff for irrigation to enhance visual clarity during procedures.
Conditions and Treatments
- Arteriosclerosis Obliterans: A frequent arterial disorder characterized by thickening and decreased elasticity of arterial walls, leading to reduced blood flow.
- Atherosclerosis: A variant of arteriosclerosis linked with plaque formation in arteries.
- Transient Ischemic Attack (TIA): Caused by plaque detachment from arteries, potentially leading to strokes and characterized by temporary neurological deficits.
- Deep Vein Thrombosis (DVT): Formation of a thrombus in deep veins, primarily affecting the iliac and femoral veins; can be life-threatening if it leads to pulmonary embolism.
Surgical Procedures and Instruments
- Angioplasty: Often accompanied by stent placement to maintain vessel patency post-procedure. Potential complications include vessel dissection if balloons are oversized.
- Embolectomy: Performed using a Fogarty catheter to restore blood flow by removing emboli.
- Vascular Grafts: Available in materials such as autologous, synthetic (like polyester or PTFE), and composite options for bypass surgeries.
- Suture for Arteriotomy: Typically, a 6-0 polypropylene double-armed suture is used for carotid repair procedures.
- IVC Filter: Deployed distal to the renal vein to prevent emboli from traveling to the pulmonary circulation.
Vascular Anatomy and Conditions
- Varicose Veins: Enlarged, twisted veins caused by factors such as heredity, hormonal changes, and prolonged standing. Indicated treatments involve addressing pain and complications.
- Claudication: Refers to cramping induced by exercise, which is relieved by rest, often associated with vascular insufficiency.
Other Relevant Procedures
- Anastomosis Types: Various techniques include artery side-to-vein side, artery end-to-vein end, and vein end-to-artery side connections.
- Biopsy and Diagnostic Evaluations: Techniques like CT scans and arteriography are essential for identifying vascular lesions, particularly in carotid arteries.
Preoperative Considerations
- Preparation for AAA: Essential instruments and materials should be on hand, including clamps for hemostasis and measures to control hemorrhage.
- Warm Wet Towels: Used during surgery to keep bowel tissue moist, preventing damage and reducing postoperative adhesions.
Patient Care Considerations
- Radiation Precautions: Important during procedures involving fluoroscopy to avoid unnecessary exposure.
- Treatment Indications: Decisions for surgical intervention are guided by symptoms, risk factors, and potential complications associated with vascular diseases.
Studying That Suits You
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Description
Test your knowledge on key terms related to peripheral vascular surgery with these flashcards from Chapter 23. Each card features a medical term along with its definition, helping you to reinforce your understanding of vascular anatomy and terminology. Perfect for medical students and professionals alike.