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Flashcards in Arterial Test Deck (50)
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1

A bypass graft evaluation begins with patient history, surgical record, and type of graft. (T/F)

True

2

A femoral-femoral graft is also called a jump graft. (T/F)

True

3

The purpose of this procedure is done to provide access for dialysis. (T/F)

The superficial cephalic and basilic veins are evaluated (mapping) as part of a preop workup for hemodialysis access placement. pg. 209

4

Radial artery to cephalic vein fistula is the most common. (T/F)

True

5

The goal of lower extremity arterial testing is to evaluate for arterial disease. (T/F)

True
pg 159

6

Indirect physiological testing includes: PVR, segmental pressures, waveform analysis, and exercise stress. (T/F)

True

7

Palpations of pulses with a rating system from 0-3. (T/F)

True
Pg 161

8

Four cuff method is better at differentiating inflow from femoral artery diease. (T/F)

True

9

Systolic pressure in the arm is used to calculate the ABI, which pressure (lower or higher) of the brachials will you use to calculate ABI?

Higher

10

An ABI of 1.4 is highly suggestive of calcified arterial disease. (T/F)

True

11

Blood pressure cuffs should have a width how much greater compared to the limbs?

20%

12

What is the important criteria during an imaging arterial system?

Pulsatility
Systolic forwardflow
Early diastolic reverse flow

Phasicity

13

What plane should you do arterial imaging in?

Sagital

14

What angle is good for a Doppler study?

45-60 degrees

15

How long does it take to compress a psuedoaneursym?

20-30 min (30-60min)

16

What would the arm pressures be if there is evidence of a subclavian steal?

20 mmHg difference

17

If a patient is complaining of an intermittent claudication, their ABI should be ___.

0.59

18

What does claudication feel like?

pain and discomfort while walking

19

Where does the SFA lie in reference to the profunda?

Anterior to the profunda

20

What are the branches off the popliteal artery?

Anterior Tibials
Posterior Tibials

21

Do segmental pressures typically overestimate or underestimate?

Underestimate disease

22

A normal toe pressure is ___ mmHg or greater.

>.75- normal

23

For what reason do PVR's usually have greater amplitudes than the thigh?

cuff artifact

24

What disease is suggested when ankle pressures fall after exercise and return back to normal in 5 minutes?

single segment occlusive disease

25

What might the ankle systolic pressure be if the patient has ischemic lesions?

50mmHg or less

26

What is the protocol for a graft?

Prox flow –native vessel
Prox anastomosis
Prox/MID/DST graft
DST anastomosis
DST flow –native vessel

27

What type of graft is in-situ?

uses the GSV and all the vein valves are removed then the proximal and distal ends are connected to the artery.
-fem-pop and sometimes fem-tibial

28

What is a reverse vein graft?

the GSV is removed and turned upside down without removal of valves then sewn back in.

29

A follow up surveillance of grafts allow the surgeon early detection of ___.

aneurysms, psudoaneurysms, perigraft abscess, defects, stenosis, occlusion

30

What is the structure used to mechanically hold the artery open?

Stent