Shared Flashcard Set

Details

3rd arterial test
diagnostic medical sonography
37
Medical
Undergraduate 2
10/10/2012

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Cards

Term
preoperative radial artery mapping
Definition

to determine the suitability of the radial artery as a graft CABG

  • modified allen test to assess patency of palmar arch
  • allen test negative proceed to mapping
  • allen test is positive no need to proceed
Term
7.5 - 9 MHz
Definition
what MHz transducer do you use for preoperative radial artery mapping?
Term
preoperative radial artery mapping
Definition
  • duplex and obtain incremental PSV from brachial , ulnar, and radial arteries
  • not plaque and increased PSV
  • Measure artery diameters, Prox, Mid, Dist on all vessels
Term
preoperative vein mapping
Definition

to determine if veins are suitable for use of coronary bypass grafts or dialysis access grafts

Upper

  • basilic
  • cephalic  

Lower

  • GSV
  • LSV
Term
7.5-9 MHz
Definition
what MHz transducer is used for vein mapping?
Term

radial, ulnar, brachial arteries as well

as PSV

Definition
when mappign for hemodialysis access, obtain measurements of what?
Term
2-3 mm
Definition
vein diameter should measure what?
Term
arteriography
Definition
gold standard of arterial testing
Term
arteriography
Definition

arterial stick with catheter insertion

  • CFA - safest
  • Axillary
  • Brachial

Contrast agent infection

  • renografin
  • isovue


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Term
Atherosclerosis
Definition
displaces contrast media causing filling defects;If total occlusion occurs there may be collaterals
Term
aneurysm
Definition

dilation of the artery

In order of most common

  • infrarenal aorta
  • femoral
  • popliteal
Term
Thrombus
Definition
may develop along dilated wall of aneurysmal artery; straigh tube/lack of branches
Term
vasospasm
Definition
severe narrowing without occlusion
Term
fibromuscular dysplasia
Definition
multiple arterial stenoses; string of beads
Term
contrast media allergies or renal failure
Definition
cannot perform arteriography on patients with what?
Term
  • hamatoma of puncture site
  • pseudoaneurysm
  • neurologic complications (emboli)
  • local arterial occlusion (post arteriogram)
Definition
complications of arteriography
Term

MRA

magnetic resonance imaging and angiography

Definition
instruments can quantitate blood flow and construct images that look like angiograms; Evaluate AAA and disections and peripheral arterial disease; no radiation
Term
  • pacemakers
  • metallic objects
  • monitoring equipment
  • stenosis overestimation
  • claustrophobic pts
  • interpretation takes skill
Definition
limitations of MRA
Term
CT
Definition
radiation; cross-sectional images (reconstructed); with or w/o contrast agents
Term

endarterectomy

[image][image][image][image]

Definition

sugical removal of atherosclerotic material and portion of intimal lining

 

Term
thrombectomy
Definition
surgical removal of thrombus
Term
thrombolysis
Definition
dissolves blood clots in blood vessels
Term
atherectomy
Definition
cuts or pulverizes plaque with a rotational device
Term
bypass grafts
Definition
provides alternate pathway for distal blood flow
Term
angioplasty
Definition
dilate segment of vessel that contains atherosclerotic lesion
Term
stents and stent grafts
Definition
devices used to maintain intraluminal stucture and patency; used to repair aneurysmal disease of the aorta
Term
  • endoleaks
  • stenosis
  • thrombosis
  • dissection
  • migration
  • twisting of limbs of a bifurcated graft 
Definition
complications of stents and stent grafts
Term
endoleak
Definition
blood flow observered in sac and size fails to diminish or grows larger after stent placement
Term
75 cm/sec
Definition
normal PSV in aorta
Term
110 cm/sec
Definition
normal PSV in the Common iliac artery
Term
110 cm/sec
Definition
normal PSV in External iliac artery
Term
90 cm/sec
Definition
normal PSV in common femoral artery
Term
90 cm/sec
Definition
normal PSV in prox superficial femoral artery
Term
75 cm/sec
Definition
normal PSV in distal Superficial femoral artery
Term
60 cm/sec
Definition
normal PSV in popliteal artery
Term
50 cm/sec
Definition
normal PSV in calf arteries
Term
  • fem-fem
  • aorta-iliac
  • fem-pop
  • axillary-fem
  • fem-pta,ata 
Definition
common grafts
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