Social History. Retired internist 2 scotches a day 50 pack-year history, stopped in 2005
|
|
|
- Rodger Parks
- 5 years ago
- Views:
Transcription
1 April 17, 2008
2 HPI 78 year old internist complains of 10 days of tingling and discomfort in left toes Unable to walk or sleep due to severe pain Pain worse with movement Redness in left toes Bilateral thigh discomfort Began a course of ciprofloxacin taken intermittently 10 days prior to admission
3 Past Medical History CAD Diabetes Hyperlipidemia Chronic Kidney Disease (creatinine 2.5) Peripheral Arterial Disease (s/p right femoral-popliteal bypass graft in 1996) BPH Gout
4 Social History Retired internist 2 scotches a day 50 pack-year history, stopped in 2005
5 Medications Allopurinol ASA Atenolol Colchicine Glyburide HCTZ Lipitor MVI Norvasc Plavix Terazosin Metformin Ciprofloxacin
6 Physical Exam VSS HEENT: Normal RESP: CTA B CV: RRR, no murmur ABDOMEN: +BS, nt, nd EXT: no edema, right side has dependent rubor, eschar between 2 nd and 3 rd toe. Right: popliteal 0, posterior tibial 1+, dorsalis pedis 0 Left: popliteal 0, posterior tibial 0, dorsalis pedis 0
7 Imaging: MRI MRI: occlusion of the distal left superficial femoral artery above the popliteal space
8 Imaging: US and Angiogram Duplex ultrasound: aneurysm of the left popliteal artery with thrombosis and collateral reconstitution on the infragenicular popliteal artery Angiogram: fem-pop bypass graft on the right side. Left popliteal artery thrombosed popliteal aneurysm. Posterior tibial artery is occluded with collateral reconstitution of the lateral tarsal branch of the posterior tibial artery. Peroneal artery is occluded in the midportion and the anterior tibial artery is occluded in the proximal portion
9 Follow-up Hospital day #4 underwent left in-situ saphenous vein femoral below the knee popliteal artery bypass
10 Robert Haung, MD 4/17/2008
11 61 yo man with cold numb foot CC- right cold numb foot. MMP 1. CAD s/p MI, 2 vessel CABG Hyperlipidemia 3. Hypertension 4. Diabetes Mellitus Type II 5. Renal Agenesis
12 HPI 61 yo man acute onset right numb and cold foot. In good health since CABG 1992 Injured right foot two years ago moving furniture, treated with wraps and arch support, done well since Woke up and notice right foot was pale and numb along lateral foot and calf. Went to pcp later that day, noted no pulses
13 Home Meds aspirin, Byetta, Diovan, fish oil, Glipizide, Metformin, Metoprolol, Tricor, and Zetia EXAM 142/ F 22 96% RA Cor rrr, s1s2 nl, no murmurs, no palpable pulses right foot Resp - CTA Abd - normal Neuro normal motor exam throughout, slightly decreased sensation to light touch right lateral foot Skin right foot pale, cool to touch, slow cap refill
14 Labs Cr 1.2
15 Assessment/Plan Critical limb Ischemia DDX progressive chronic PVD, PVD with plaque rupture, distal emboli Heparin IV therapeutic protocol MRA right leg Vascular and IR consult IVFs Hold Metformin Cont aspirin and cholesterol meds
16 IR consult Pt did not tolerate MRA Sensation and motor intact Leg warm to level of ankle Cool over top and distal foot CFA and Popliteal artery palp Limb NOT threatened at this pain Heparin IV CTA/US in am
17 Day 2 Vascular consult Substantial right first toe ischemia Standard angiogram +/- TPA Pelvic and right lower ext arteriogram Widely patent iliac arterial system Normal caliber right CFA, CFA, Pop, and trifurcation Three vessel runoff to distaf calf, then distal emboli to PT and AT at ankle Not a candidate for catheter directed lysis
18 Day 3 Foot feels warmer since admit Coumadin Lovenox bridge Cont aspirin 81mg daily D/c home
19 Post hospital course Outpatient vascular medicine consult Waxing/waning course since discharge Protein C 40% Factor V homozygous normal Factor II Gene Mutation homozygous normal Antithrombin III 111% Anticardiolipin aby neg Lupus Anticoagulant not detected
20 Vascular medicine consult cont. ESR 17 ANA neg Cryoglobulin neg Cold agglutinin <1:64 ANCA neg
21 TTE, EKG, Holter, Ophtho exam Arterial US right leg/foot Normal resting ankle brachial index bilateral Right toe brachial index mod low 0.48 CT angio chest/abd/pelvis No potential source of emboli found TEE Small PFO, trivial fix atheromatous disease descending aorta
Resident Teaching Conference 3/12/2010
Resident Teaching Conference 3/12/2010 Goals Definition and Classification of Acute Limb Ischemia Clinical Assessment of the Vascular Patient History and Physical Diagnostic Modalities Management of Acute
PUT YOUR BEST FOOT FORWARD
PUT YOUR BEST FOOT FORWARD Bala Ramanan, MBBS 1 st year vascular surgery fellow Introduction The epidemic of diabetes and ageing of our population ensures critical limb ischemia will continue to grow.
Role of ABI in Detecting and Quantifying Peripheral Arterial Disease
Role of ABI in Detecting and Quantifying Peripheral Arterial Disease Difference in AAA size between US and Surgeon 2 1 0-1 -2-3 0 1 2 3 4 5 6 7 Mean AAA size between US and Surgeon Kathleen G. Raman MD,
Learning Objectives for Rotations in Vascular Surgery Year 3 Basic Clerkship
Learning Objectives for Rotations in Vascular Surgery Year 3 Basic Clerkship CLINICAL PROBLEMS IN VASCULAR SURGERY 1. ABDOMINAL AORTIC ANEURYSM A 70 year old man presents in the emergency department with
CLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 6/30/2012 Radiology Quiz of the Week # 79 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
Critical Limb Ischemia A Collaborative Approach to Patient Care. Christopher LeSar, MD Vascular Institute of Chattanooga July 28, 2017
Critical Limb Ischemia A Collaborative Approach to Patient Care Christopher LeSar, MD Vascular Institute of Chattanooga July 28, 2017 Surgeons idea Surgeons idea represents the final stage of peripheral
Peripheral Vascular Examination. Dr. Gary Mumaugh Western Physical Assessment
Peripheral Vascular Examination Dr. Gary Mumaugh Western Physical Assessment Competencies 1. Inspection of upper extremity for: size symmetry swelling venous pattern color Texture nail beds Competencies
Peripheral Arterial Disease: A Practical Approach
Peripheral Arterial Disease: A Practical Approach Sanjoy Kundu BSc, MD, FRCPC, DABR, FASA, FCIRSE, FSIR The Scarborough Hospital Toronto Endovascular Centre The Vein Institute of Toronto Scarborough Vascular
Imaging Strategy For Claudication
Who are the Debators? Imaging Strategy For Claudication Duplex Ultrasound Alone is Adequate to Select Patients for Endovascular Intervention - Pro: Dennis Bandyk MD No Disclosures PRO - Vascular Surgeon
Steven Hadesman, MD Chief Medical Officer, MeridianRx Internal Medicine Physician, St. John Hospital
Steven Hadesman, MD Chief Medical Officer, MeridianRx Internal Medicine Physician, St. John Hospital Deep Venous Thrombosis Varicose Veins Venous insufficiency Phlebitis Lymphedema Elephantiasis nostras
Lower Extremity Artery: Physiologic Testing
Master Title Ultrasound for Initial Evaluation of Lower Extremity Arterial Occlusive Disease: WHY? Gregory L. Moneta MD Professor and Chief Knight Cardiovascular Institute Division of Vascular Surgery
VASCULAR DISEASE: THREE THINGS YOU SHOULD KNOW JAMES A.M. SMITH, D.O. KANSAS VASCULAR MEDICINE, P.A. WICHITA, KANSAS
VASCULAR DISEASE: THREE THINGS YOU SHOULD KNOW JAMES A.M. SMITH, D.O. KANSAS VASCULAR MEDICINE, P.A. WICHITA, KANSAS KANSAS ASSOCIATION OF OSTEOPATHIC MEDICINE ANNUAL CME CONVENTION APRIL 13, 2018 THREE
Practical Point in Holistic Diabetic Foot Care 3 March 2016
Diabetic Foot Ulcer : Vascular Management Practical Point in Holistic Diabetic Foot Care 3 March 2016 Supapong Arworn, MD Division of Vascular and Endovascular Surgery Department of Surgery, Chiang Mai
RadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant Week of November 19, 2018 Abdominal Aortogram, Bilateral Runoff
Imaging for Peripheral Vascular Disease
Imaging for Peripheral Vascular Disease James G. Jollis, MD Director, Rex Hospital Cardiovascular Imaging Imaging for Peripheral Vascular Disease 54 year old male with exertional calf pain in his right
THE popliteal artery is the second most common site of aneurysm. The
POPLITEAL ANEURYSM Treatment by Vein Graft: Case Report A. W. HUMPHRIES, M.D. Department of Orthopedic Surgery F. A. LeFEVRE, M.D. and V. G. dewolfe, M.D. Department of Cardiovascular Disease THE popliteal
Peripheral Arterial Disease Extremity
Peripheral Arterial Disease Lower Extremity 05 Contributor Dr Steven Chong Advisors Dr Ashish Anil Dr Tay Jam Chin Introduction Risk Factors Clinical Presentation Classification History PHYSICAL examination
Aortoiliac occlusive disease
Role of endovascular therapy in TASC II C & D inflow disease Per the TASC II Document: Surgery is the treatment of choice for type D lesions Aortoiliac occlusive disease Bala Ramanan, MBBS 1 st year vascular
Approach to the Patient with (suspected) Arterial Insufficiency Related Ulceration
Approach to the Patient with (suspected) Arterial Insufficiency Related Ulceration Elisa C. Taffe, MD, CWSP Vascular Medicine Medical Director Allegheny General Advanced Wound Healing and Lymphedema Center
Practical Point in Diabetic Foot Care 3-4 July 2017
Diabetic Foot Ulcer : Role of Vascular Surgeon Practical Point in Diabetic Foot Care 3-4 July 2017 Supapong Arworn, MD Division of Vascular and Endovascular Surgery Department of Surgery, Chiang Mai University
Introduction What Causes Peripheral Vascular Disease? How Do Doctors Treat Peripheral Vascular Disease?... 9
Patient Information Table of Contents Introduction... 3 What is Peripheral Vascular Disease?... 5 What Are Some of the Symptoms of Peripheral Vascular Disease?... 7 What Causes Peripheral Vascular Disease?...
The Peripheral Vascular System
The Peripheral Vascular System Anatomy and Physiology Arteries Arteries contain 3 concentric layers of tissue: - the intima - the media - the adventitia The intima The endothelium of the intima has metabolic
SAFETY AND EFFECTIVENESS OF ENDOVASCULAR REVASCULARIZATION FOR PERIPHERAL ARTERIAL OCCLUSIONS
SAFETY AND EFFECTIVENESS OF ENDOVASCULAR REVASCULARIZATION FOR PERIPHERAL ARTERIAL OCCLUSIONS LIBBY WATCH, MD MIAMI VASCULAR SPECIALISTS MIAMI CARDIAC & VASCULAR INSTITUTE FINANCIAL DISCLOSURES None 2
Limb Salvage in Diabetic Ischemic Foot. Kritaya Kritayakirana, MD, FACS Assistant Professor Chulalongkorn University April 30, 2017
Limb Salvage in Diabetic Ischemic Foot Kritaya Kritayakirana, MD, FACS Assistant Professor Chulalongkorn University April 30, 2017 Case Male 67 years old Underlying DM, HTN, TVD Present with gangrene
Artery 1 Head and Thoracic Arteries. Arrange the parts in the order blood flows through them.
Artery 1 Head and Thoracic Arteries 1. Given the following parts of the aorta: 1. abdominal aorta 2. aortic arch 3. ascending aorta 4. thoracic aorta Arrange the parts in the order blood flows through
Gross Anatomy Coloring Book Series. Lower Extremity Arteries
Gross Anatomy Coloring Book Series Lower Extremity Arteries 1 Femoral Artery and Associated Branches For the life of the flesh is in the blood. Leviticus 17:11 Femoral Artery and Associated Branches After
SOURCE EMBOLI (mural thrombi ) FROM THE HEART : -LEFT ATRIUM -LEFT VENTRICLE -AORTIC VALVE -MITRAL VALVE
ARTERIAL PERIPHERAL VASCULAR DISEASES ACUTE ARTERIAL OCCLUSION : SUDDEN INTERRUPTION OF THE BLOOD SUPPPLY RESULT IN A SPECTRUM OF SYMPTOMS AND SIGNS WHICH ARE DEPENDENT UPON THE LOCATION AND EXTENT OF
Lower Extremity Arterial Disease
Lower Extremity Arterial Disease Circulating the Facts About Peripheral Disease Brought to you by the Education Committee of the Society for 1 www.svnnet.org Peripheral Artery Disease (PAD) Many people
Coral Reef Aorta- Treatment Options?
Chronic mesenteric ischemia (CMI) Coral Reef Aorta- Treatment Options? Bala Ramanan Vascular Fellow, UCSF CMI is a life-threatening problem that can result in death from inanition or bowel infarction Incidence
Case Report Abstracts Presented to the Peripheral Vascular Society - Winter Meeting 2009
Case Report Abstracts Presented to the Peripheral Vascular Society - Winter Meeting 2009 Intermittent Foot Claudication with Active Dorsiflexion: The Seminal Case of Dorsalis Pedis Artery Entrapment Katie
Current Status of Endovascular Therapies for Critical Limb Ischemia
Current Status of Endovascular Therapies for Critical Limb Ischemia Bulent Arslan, MD Associate Professor of Radiology Director, Vascular & Interventional Radiology Rush University Medical Center bulent_arslan@rush.edu
Clinical Approach to CLI and Related Diagnostics: What You Need to Know
Clinical Approach to CLI and Related Diagnostics: What You Need to Know Ido Weinberg, MD Assistant Professor of Medicine Harvard Medical School Massachusetts General Hospital None Disclosures Critical
Access strategy for chronic total occlusions (CTOs) is crucial
Learn How Access Strategy Impacts Complex CTO Crossing Arthur C. Lee, MD The Cardiac & Vascular Institute, Gainesville, Florida VASCULAR DISEASE MANAGEMENT 2018;15(3):E19-E23. Key words: chronic total
Introduction to Peripheral Arterial Disease. Stacey Clegg, MD Interventional Cardiology August
Introduction to Peripheral Arterial Disease Stacey Clegg, MD Interventional Cardiology August 20 2014 Outline (and for the ABIM board exam * ** ***) Prevalence* Definitions Lower Extremity: Aorta*** Claudication***
RadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant Week of June 4, 2018 Thrombolysis, Thrombectomy & Angioplasty
Bilateral Persistent Sciatic Arteries with Failed Iliofemoral Grafts
Bahrain Medical Bulletin, Vol. 34, No. 4, December 2012 Bilateral Persistent Sciatic Arteries with Failed Iliofemoral Grafts Hani Al Fadhel, MD, FRCR* Faisal Rafeea, MD, SBEM** Abeer Moustafa Abdul Latif,
Introduction 3. What is Peripheral Vascular Disease? 5. What Are Some of the Symptoms of Peripheral Vascular Disease? 6
Patient Information Table of Contents Introduction 3 What is Peripheral Vascular Disease? 5 What Are Some of the Symptoms of Peripheral Vascular Disease? 6 What Causes Peripheral Vascular Disease? 7 How
Crash, Bonk, Thud! (Trauma Case Studies) John Beuerle, M.D.
Crash, Bonk, Thud! (Trauma Case Studies) John Beuerle, M.D. Case 1 (22 y.o. female, wakeboarding injury) Case 1 (22 y.o. female, wakeboarding injury) Arrives via EMS cc: left leg injury HPI: Patient
MR Angiography in the evaluation of Lower Extremity Arterial Disease
March 2001 MR Angiography in the evaluation of Lower Extremity Arterial Disease Ted Mau, Harvard Medical School Year III Objectives We will cover: Indications for Magnetic Resonance Angiography (MRA) Basic
Lab CT scan. Murad Kharabsheh Yaman Alali
Lab CT scan Murad Kharabsheh Yaman Alali Some rules to read The CT Scan : 1. Remember that it s a transverse section across the body and we are looking at the inferior part of the section (not the superior),
Clinical Examination of VASCULAR PATIENTS. Stephanie Hirst & Alexander Sunde
Clinical Examination of VASCULAR PATIENTS Stephanie Hirst & Alexander Sunde Goals of Medical History To record the patient s symptoms at time of presentation. To organize the events which have lead to
Intended Learning Outcomes
2011 Acute Limb Ischemia Definition, Etiology & Pathophysiology Clinical Evaluation Management Ali SABBOUR Prof. of Vascular Surgery, Ain Shams University Acute Limb Ischemia Intended Learning Outcomes
Acute Limb Ischemia. R. J. Guzman M. J. Osgood 10/7/11
Acute Limb Ischemia R. J. Guzman M. J. Osgood 10/7/11 Outline Etiologies Classification Presentation Workup/diagnosis Management Outcomes Etiologies Embolic Thrombotic Bypass Graft Occlusion Trauma Iatrogenic
Non-invasive examination
Non-invasive examination Segmental pressure and Ankle-Brachial Index (ABI) The segmental blood pressure (SBP) examination is a simple, noninvasive method for diagnosing and localizing arterial disease.
Root Cause Analysis for nontraumatic
Root Cause Analysis for nontraumatic amputations 2016 (Full Data) Date Richard Leigh and Stella Vig, Co-Chairs London SCN Footcare Network October 2015 Outline of London RCA 2016 London Hospitals invited
Disclosures. Talking Points. An initial strategy of open bypass is better for some CLI patients, and we can define who they are
An initial strategy of open bypass is better for some CLI patients, and we can define who they are Fadi Saab, MD, FASE, FACC, FSCAI Metro Heart & Vascular Metro Health Hospital, Wyoming, MI Assistant Clinical
Morbidity Audit and Logbook Tool SNOMED Board Reporting Terms for SET and IMG Vascular Surgery AMPUTATION AORTA
SNOMED s for SET and IMG Vascular Surgery AMPUTATION Amputation above-knee Amputation of leg through tibia and fibula Amputation of the foot Amputation of toe Through knee amputation Ray amputation of
Combat Extremity Vascular Trauma
Combat Extremity Vascular Trauma Training teams to be a TEAM Chatt A. Johnson LTC, MC, USA 08 March 2010 US Army Trauma Training Center Core Discussion Series Outline: Combat Vascular Injury Physiologic
Arthroplasty after previous surgery: previous vascular problems
Arthroplasty after previous surgery: previous vascular problems Jacques Menetrey & Victoria B. Duthon Centre de médecine de l appareil locomoteur et du sport Swiss Olympic medical Center Unité d Orthopédie
Why Would We Operate on a Confirmed DVT Diagnosis? Presented by: Chris Huckle, DO Contributions: Stewart Grizzard, MD and Jeffrey Easom, DO
Why Would We Operate on a Confirmed DVT Diagnosis? Presented by: Chris Huckle, DO Contributions: Stewart Grizzard, MD and Jeffrey Easom, DO History F.R. is a 40 year old African American male who presented
National Vascular Registry
National Vascular Registry Bypass Patient Details Patient Consent* 2 Not Required If patient not consented: Date consent recorded / / (DD/MM/YYYY) Do not record NHS number, NHS number* name(s) or postcode.
Peripheral Arterial Disease
UFS Peripheral Arterial Disease A problem of supply and demand Larry Rhoads, Associate Chief Underwriter November 8, 2011 PAD Two categories of these circulation disorders: Functional peripheral vascular
National Vascular Registry
National Vascular Registry Angioplasty Patient Details Patient Consent* 2 Not Required If patient not consented: Date consent recorded / / (DD/MM/YYYY) Do not record NHS number, NHS number* name(s) or
SAMPLE EDITION PELVIC AND LOWER EXTREMITY ARTERIES WITH ENDOVASCULAR REVASCULARIZATION. Cardiovascular Illustrations and Guidelines
Cardiovascular Illustrations and Guidelines PELVIC AND LOWER EXTREMITY ARTERIES WITH ENDOVASCULAR REVASCULARIZATION ANGIOPLASTY INTRAVASCULAR STENT PLACEMENT ATHERECTOMY For Fem-Pop Territory Angioplasty
2018 ACOI Internal Medicine Board Review. Peripheral Vascular Disease. Robert Bender, DO, FACOI, FACC
2018 ACOI Internal Medicine Board Review Peripheral Vascular Disease Robert Bender, DO, FACOI, FACC Peripheral Vascular Disease (PVD) Arteriosclerosis Obliterans (ASO) Aneurysmal Disease Acute Arterial
Peripheral Arterial Disease. Westley Smith MD Vascular Fellow
Peripheral Arterial Disease Westley Smith MD Vascular Fellow Background (per 10,000) Goodney P, et al. Regional intensity of vascular care and lower extremity amputation rates. JVS. 2013; 6: 1471-1480.
Introduction. Risk factors of PVD 5/8/2017
PATHOPHYSIOLOGY AND CLINICAL FEATURES OF PERIPHERAL VASCULAR DISEASE Dr. Muhamad Zabidi Ahmad Radiologist and Section Chief, Radiology, Oncology and Nuclear Medicine Section, Advanced Medical and Dental
5/24/16. Matthew Rennels, DO Ryan Szepiela, MD Promedica Toledo Hospital Primary Care Sports Medicine Fellowship
Matthew Rennels, DO Ryan Szepiela, MD Promedica Toledo Hospital Primary Care Sports Medicine Fellowship! The patient is a 26-year-old male professional baseball pitcher (righthanded) who presented with
Will it heal? How to assess the probability of wound healing
Will it heal? How to assess the probability of wound healing Richard F. Neville, M.D. Professor of Surgery Chief, Division of Vascular Surgery George Washington University Limb center case 69 yr old male
Introduction History Preceded by Arterial Doppler and ABI Indications
Elise Brady, RVT, RDMS Introduction History Preceded by Arterial Doppler and ABI Indications 1) Abnormal ABI (within 2weeks of duplex) 2) Abnormal Doppler waveforms 3) Claudication 4) History of PVD 5)
Hypothesis: When compared to conventional balloon angioplasty, cryoplasty post-dilation decreases the risk of SFA nses in-stent restenosis
Cryoplasty or Conventional Balloon Post-dilation of Nitinol Stents For Revascularization of Peripheral Arterial Segments Background: Diabetes mellitus is associated with increased risk of in-stent restenosis
FLORIDA MEDICARE PART B LOCAL MEDICAL REVIEW POLICY
FLORIDA MEDICARE PART B LOCAL MEDICAL REVIEW POLICY CPT/HCPCS Codes 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study 93926 unilateral or limited study Policy
Intercepting PAD. Playbook for Cardiovascular Care 2018 February 24, Jonathan D Woody, MD, FACS. University Surgical Vascular
Intercepting PAD Playbook for Cardiovascular Care 2018 February 24, 2018 Jonathan D Woody, MD, FACS University Surgical Vascular Attending Vascular Surgeon - Piedmont Athens Regional Adjunct Clinical Associate
How to Triage Orthopaedic Care. David W. Gray, M.D.
How to Triage Orthopaedic Care David W. Gray, M.D. OBJECTIVES: Define basic assessments skills needed to identify orthopedic injuries Differentiate when an orthopedic injury is a medical emergency Determine
The Struggle to Manage Stroke, Aneurysm and PAD
The Struggle to Manage Stroke, Aneurysm and PAD In this article, Dr. Salvian examines the management of peripheral arterial disease, aortic aneurysmal disease and cerebrovascular disease from symptomatology
Peripheal artery occlusive disease(from aorta to popliteal) 연세대학교의과대학 심장혈관병원최동훈
Peripheal artery occlusive disease(from aorta to popliteal) 연세대학교의과대학 심장혈관병원최동훈 Case 1 Aorta disease -antegrade via brachial artery, subintimal approach, wire retraction, kissing stent- M / 59 # 4268376
Vascular Surgery Cases: Detours. Brian F. Stull, RDMS, RVT UNC REX Healthcare Vascular Specialists
Vascular Surgery Cases: Detours Brian F. Stull, RDMS, RVT UNC REX Healthcare Vascular Specialists Brian.Stull@Unchealth.unc.edu Objectives Anatomy of a bypass graft Where does it connect, where does it
Boca Raton Regional Hospital Grand Rounds September 13, 2016
Boca Raton Regional Hospital Grand Rounds September 13, 2016 W. Anthony Lee, MD, FACS Chief, BocaCare Vascular Surgery Christine E. Lynn Heart and Vascular Institute Boca Raton, Florida Disclosures No
Pedal Bypass With Deep Venous Arterialization:
Pedal Bypass With Deep Venous Arterialization: Long Term Result For Critical Limb Ischemia With Unreconstructable Distal Arteries Pramook Mutirangura Professor of Vascular Surgery Faculty of Medicine Siriraj
Acute arterial embolism
Acute arterial embolism Definition Thrombus come from heart or blood vessel or other embolus such as tumor,air gas or fat flow with blood stream and occlude distal limb or visceral arteries which causes
OUTPATIENT DEPARTMENT
1 This chapter outlines the main arterial and venous diseases that are likely to be seen within a vascular outpatient setting. It also highlights the role of the vascular nurse specialist wherever appropriate.
WHO YOU GONNA CALL? CLOT-BUSTERS!
WHO YOU GONNA CALL? CLOT-BUSTERS! Jayer Chung MD, MSc Assistant Professor Division of Vascular Surgery and Endovascular Therapy Michael E DeBakey Department of Surgery Baylor College of Medicine Annual
Popliteal Artery Aneurysms: Diagnosis and Repair Options
Deepak N. Deshmukh DO April 27, 2018 Popliteal Artery Aneurysms: Diagnosis and Repair Options No Disclosures Popliteal Artery Aneurysms (PAAs) Male Predominanace Most common peripheral Aneurysm (70%) 30-50%
North American Society of Cardiovascular Imaging Annual Meeting, Baltimore MD, October 15-18, Tips and Tricks in Vascular Imaging
North American Society of Cardiovascular Imaging Annual Meeting, Baltimore MD, October 15-18, 2016 Tips and Tricks in Vascular Imaging Lower Extremity CTA Dominik Fleischmann, Richard Hallett Division
Cath Lab Essentials : Peripheral Vascular Disease in Patients with CAD
Cath Lab Essentials : Peripheral Vascular Disease in Patients with CAD Pranav M. Patel, MD, FACC, FSCAI Interim Chief & Associate Professor of Medicine Director, Cardiac Catheterization Lab University
V.A. is a 62-year-old male who presents in referral
, LLC an HMP Communications Holdings Company Clinical Case Update Latest Trends in Critical Limb Ischemia Imaging Amit Srivastava, MD, FACC, FABVM Interventional Cardiologist Bay Area Heart Center St.
Algorithm for Managing Acute Lower Extremity Ischemia. Peter A. Schneider, MD Honolulu, Hawaii
Algorithm for Managing Acute Lower Extremity Ischemia Peter A. Schneider, MD Honolulu, Hawaii Disclosure Peter A. Schneider, MD... I have the following potential conflicts of interest to report: Consulting:
Indications: following: embolization. artery that has diseases 5. The evaluation. of suspected. such entities. a cold hand. biopsy
Peripheral Arterial Ultrasound Protocol Using Color and Spectral Doppler Reviewed by: Mark Yuhasz, MD Last Review Date: January 2015 Contact: (866) 761 4200, Option 1 Indications: The indications for peripheral
What s New in the Management of Peripheral Arterial Disease
What s New in the Management of Peripheral Arterial Disease Sibu P. Saha, MD, MBA Professor of Surgery Chairman, Directors Council Gill Heart Institute University of Kentucky Lexington, KY Disclosure My
Leg ulcer assessment and management
Leg ulceration The views expressed in this presentation are solely those of the presenter and do not necessarily represent the views of Smith & Nephew. Smith & Nephew does not guarantee the accuracy or
Garland Green, MD Interventional Cardiologist. Impact of PAD: Prevalence, Risk Factors, Testing, and Medical Management
Garland Green, MD Interventional Cardiologist Impact of PAD: Prevalence, Risk Factors, Testing, and Medical Management Peripheral Arterial Disease Affects over 8 million Americans Affects 12% of the general
Reducing Thrombotic Burden in Arterial Interventions. Mario Galli, MD Cardiovascular Interventional Unit S. Anna Hospital, Como, Italy
Reducing Thrombotic Burden in Arterial Interventions Mario Galli, MD Cardiovascular Interventional Unit S. Anna Hospital, Como, Italy Disclosure Speaker name: Mario Galli... I have the following potential
CAN T MISS ECG FINDINGS L. THOMAS RICHARDS, MD ASSISTANT PROFESSOR OF EMERGENCY MEDICINE
Topics in Emergency Medicine 2010 CAN T MISS ECG FINDINGS L. THOMAS RICHARDS, MD ASSISTANT PROFESSOR OF EMERGENCY MEDICINE OBJECTIVES Examine three common presentations to the ED which compel the EM provider
Arterial Bypass Grafts to the Legs and Femoral Endarterectomy
Patient Information Arterial Bypass Grafts to the Legs and Femoral Endarterectomy We expect you to make a rapid recovery after your operation and to experience no serious problems. However, it is important
Easy. Not so Easy. Risk Assessment in the CLI Patient: Who is Likely to Benefit from Revascularization and Who is Not? 4/28/2012
Risk Assessment in the CLI Patient: Who is Likely to Benefit from Revascularization and Who is Not? Easy 89 yo Non-ambulatory Multiple failed interventions Forefoot and heel gangrene Andres Schanzer, MD
Radiologic Evaluation of Peripheral Arterial Disease
January 2003 Radiologic Evaluation of Peripheral Arterial Disease Grace Tye, Harvard Medical School Year III Patient D.M. CC: 44 y/o male with pain in his buttocks Occurs after walking 2 blocks. Pain is
Appendix D: Leg Ulcer Assessment Form
Nursing Best Practice Guideline Appendix D: Ulcer Assessment Form Person Completing Assessment: Date: Client Name: Caf # CM# VON ID #: District CCAC ID # Address Telephone Home: Work: Date of Birth Y/M/D:
3 Circulatory Pathways
40 Chapter 3 Circulatory Pathways Systemic Arteries -Arteries carry blood away from the heart to the various organs of the body. -The aorta is the longest artery in the body; it branches to give rise to
Georgia Vascular Society 6th Annual Scientific Sessions September 14 16, 2018 Ritz-Carlton Reynolds, Lake Oconee Greensboro, GA
The Gamete of Pediatric Vascular Surgery: One Surgeon s Experience Georgia Vascular Society 6th Annual Scientific Sessions September 14 16, 2018 Ritz-Carlton Reynolds, Lake Oconee Greensboro, GA Mohammed
KNEE DISLOCATION. The most common injury will be an anterior dislocation, and this usually results from a hyperextension mechanism.
KNEE DISLOCATION Introduction Dislocation of the knee is a severe injury associated with major soft tissue injury and a high incidence of damage to the popliteal artery. There is displacement of the tibia
The Burden of CLI and Crosser Catheter Recanalization Strategies
, LLC an HMP Communications Holdings Company November 2013 Volume 25/ Supplement D www.invasivecardiology.com The Official Journal of the International Andreas Gruentzig Society The Burden of CLI and Crosser
How to manage leg ulcers in the elderly
How to manage leg ulcers in the elderly David Riding Clinical Research Fellow / Specialty Registrar in Vascular Surgery University of Manchester / MFT British Geriatric Society Trainees Meeting 2018 Objectives
Abdominal Exam: The examination of the abdomen used by physicians to detect an abdominal aortic aneurysm.
Glossary of Terms Abdominal Exam: The examination of the abdomen used by physicians to detect an abdominal aortic aneurysm. Angiogram: A diagnostic test requiring the insertion of a catheter into an artery
Peripheral Arterial Disease
Peripheral Arterial Disease Presentation Prevention Treatment Cardiovascular and Stroke Summit 1 June 2018 Mary MacDonald CD MD PhD FRCSC RPVI Vascular Surgeon Thunder Bay Regional Health Sciences Centre
Objectives. Abdominal Aortic Aneuryms 11/16/2017. The Vascular Patient: Diagnosis and Conservative Treatment
The Vascular Patient: Diagnosis and Conservative Treatment Ferrell-Duncan Clinic Zachary C. Schmittling, M.D., F.A.C.S. Vascular and General Surgery Ferrell-Duncan Clinic Cox Health Systems Objectives
NADINE R. BARSOUM, M.D.; LAMIAA I.A. METWALLY, M.D. and IMAN M. HAMDY IBRAHIM, M.D.
Med. J. Cairo Univ., Vol. 84, No. 2, December: 175-183, 2016 www.medicaljournalofcairouniversity.net Peripheral Arterial Disease of the Lower Limbs: Is Doppler Examination as Efficient in its Diagnosis
Patient Brochure. Clearstream Technologies, Ltd. Moyne Upper Enniscorthy Co. Wexford, Ireland. PK Rev. 0 05/17
Patient Brochure Clearstream Technologies, Ltd. Moyne Upper Enniscorthy Co. Wexford, Ireland PK1411100 Rev. 0 05/17 LIFESTREAM Patient Brochure If you or a member of your family has been diagnosed with
Diagnosis and Endovascular Treatment of Critical Limb Ischemia: What You Need to Know S. Jay Mathews, MD, MS, FACC
Diagnosis and Endovascular Treatment of Critical Limb Ischemia: What You Need to Know S. Jay Mathews, MD, MS, FACC Interventional Cardiologist/Endovascular Specialist Bradenton Cardiology Center Bradenton,
Femoral Artery. Its entrance to the thigh Position Midway between ASIS and pubic symphysis
Lower Limb Vessels Lecture Objectives Describe the major arteries of the lower limb. Describe the deep and superficial veins of the lower limb. Describe the topographical relationships of the arteries
Jordan M. Garrison, MD FACS, FASMBS
Jordan M. Garrison, MD FACS, FASMBS Peripheral Arterial Disease (PAD) Near or Complete obstruction of > 1 Peripheral Artery Peripheral Venous reflux Disease Varicose Veins Chronic Venous Stasis Ulcer Disease