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USIDMS Extremity Bypass Grafts

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Question
Answer
Common types of graft material used...   Synthetic: PTFE (poor long-term), Autogenous (preferred, better long term), Cadaver (Last choice)  
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Which type of autogenous vein graft stays in its native bed?   In Situ  
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Which type of autogenous vein graft does not get removed?   In Situ  
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Which type of autogenous vein graft has to use a valvulatome?   In Situ  
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Which type of autogenous vein graft has the large end of the vein at the proximal anastomosis?   In Situ  
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Which type of autogenous vein graft has to remove the GSV?   Reversed  
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Which type of autogenous vein graft flips the vein upside down in the patients leg?   Reversed  
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Which type of autogenous vein graft has the small end of the vein at the distal anastomosis?   In Situ  
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Which type of autogenous vein graft has the small end of the vein at proximal anastomosis?   Reversed  
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Which type of autogenous vein graft has the large end of the vein at the distal anastomosis?   Reversed  
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What velocity and velocity ratio indicates a graft stenosis?   ≥150 cm/s or ≥2.0  
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What velocity should a graft stay above?   40-45 cm/s  
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What are the two main types of stents and describe them?   Palmaz- balloon deployed, Wallstent- self-expanding  
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Arteriography is described as....   Catheter inserted into a artery, injects dye(usually CFA or brachial), provides road maps  
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Intravascular ultrasound is described as....   medical imaging methodology using a specially designed catheter with a miniaturized ultrasound probe attached to the distal end  
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Angioscopy is described as....   Not ultrasound, but visualizes the interior of blood vessels.  
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What images the vessels by using magnetic fields to excite hydrogen atoms in the body?   Magnetic Resonance Angiography (MRA)  
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What are Magnetic Resonance Flow Meters?   MRI has the capability of measuring flowing blood (the rate), tells the difference between venous (MRV... brain) and arterial (MRA).  
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What is the gold standard for looking for brain activity/death?   Brain SPECT (NucMed)  
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What are the four steps of treating vascular disease?   1. Lifestyle Modification 2. Pharmacologic Treatment 3. Surgical Treatment 4. Endovascular Treatment  
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What are two different reasons for Warfarin to be given?   1. thrombolytic therapy 2. Atrial Fibrillation  
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What happens to blood pressure when a patient takes: Ace Inhibitors, Beta Blockers, & Calcium channels blockers?   Blood pressure drops  
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What happens to blood pressure when a patient takes a vasodilators such as Nitroglycerine?   Blood pressure drops  
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What happens to blood pressure when a patient takes a vasoconstrictor such as Dopamine & Norepinephrine?   Blood pressure raises  
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