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23 Cards in this Set
- Front
- Back
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Anastomosis |
•Site of graft connection between an artery or vein |
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Arterial-Venous Fistula |
•Pre capillary shunt between an artery and vein |
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Intimal Hyperplasia |
•Rapid growth of intima that can compromise the vein or graft |
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Seroma |
•Fluid pocket, can be found adjacent to bypass graft or surgery site |
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Percutaneous Angioplasty |
•Local dilation of an artery or stenosis with a inflatable catheter |
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Cephalic Vein |
•Can be used for short graft segs |
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Cephalic/Basilic |
•Evaluated pre op for hemodialysis access |
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Radial or Ulnar |
•Can be used for CABG material |
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Vein Mapping 1 |
•Determines suitability •SV is present, patent, duplicated, continuous, good size, thrombus |
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Vein Mapping 2 |
•Includes procedure 1 •Marks course of SV or superficial arm veins |
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Mapping 3 |
•Determines if radial artery suitable for CABG |
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Suitability of GSV |
•R/O chornic DVT, collateralization •Continuous, duped, thrombus •Check contralateral also |
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Areas to Check GSV |
•Upper, mid, lower thigh •Upper, mid, lower calf |
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Measure GSV |
•<2mm unsuitable •Check SSV also |
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Arterialized Vein |
•Expands by 1.5 - 2 x diameter |
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Vein Diameter >2.5 mm |
•Higher graft patency rates |
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Vein Diameter <2.5 mm |
•High graft failure rate in lower extremity bypass |
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Radial Artery Advantage over SV |
•Appropriate caliber •Thicker walls, less hyperplasia •Better availability |
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Contraindications for RA Harvest |
•Ischemic digits, Raynaud's •Occluded, sclerotic or atretic •Incomplete palmar arch |
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Pre Op RA Harvest |
•R/O subclav disease with brachials •R/O stenosis, occlusion, atresia or wall calcification |
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Palmar Arch Patency |
•Essential for radial artery harvest |
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Radial Artery Dominance |
•Contraindicates radial artery harvest |
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Post Op Assessment |
•Obtain pt hx, surgeries •Graft type, location, periph stents |
