Vascular Test
Terms
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copy deck
- Used to hear vascularity transmission procedures
- Doppler
- This is disease of arterial vascular system
- Arthrosclerosis
- As plaque builds up and invades__________ layers of the vessel and the_________is dammaged
-
intima layer
endothelium - This means to split
- Bifurcated
- Number one cause of the death in U.S.
- Coronary Artery Disease
- This is a traveling Blood clot
- Embolus
- Used to for retraction of vessel
-
Strip of cotton (umbilical tape)
Flexible silastic vessel loop
1/4 in. penrose drain
rumel tournaquet -
Hemostasis
Two suction tips at all times -
Smaller vessels-frazier
Aorta-Yankhauer - Hemostatic Agents
-
Gel foam
Avitene
Topical Thrombin (may be used on gel foam) - Anticoagulation Irrigation
-
Heparinized
20-30cc syringe instead of asepto - This drug reverses heparin
- Protamine Sulfate
-
Surgery to remove plaque from carotid artery
Also reestablish oxygenated blood to brain - Carotid Endarterectomy
- Instruments (Carotid Endarterectomy)
-
De Martel scissors
Potts-Smith scissors
Debaky forceps
Penfield and Freer elevator
Straight hemostats - Vascular Clamps
-
Cooley
Debaky
Fogarty
Bull dog clamps - Carotid EDT Incision
- Small with number 11 blade
- Shunt
- Javid Shunt
- 3 steps for Carotid EDT
-
Small incision with 11 blade
Insert javid
Flush artery w/ heparinized saline - Vein harvesting
- The greater saphenous Vein
- 2 reasons Greater saphenous vein provides good autograph for peripheral or coronary disease
-
Readily accessible
Conective layer tissue thickens with increased pressure - Fem-pop
- Femoral Popliteal Bypass
- Fem-pop Surgical Goal
- A synthetic graft is implanted between femoral and popliteal arteries
- In situ grafting uses
- Greater saphenous vein as a shunt
- Aortic Aneurysm
-
Maybe bifurcated graft or straight graft (Dacron)
Must be sumerged in pt's own blood. - Most aortic aneurysms occur
- Below renal arteries and extend to bifurcation of iliac arteries.
- 4 Amputation saws
-
Gigly
Saherlee
Charrierre
Liston knife (used for digits)