Peripheral
Vascular Disease
Peripheral Arterial Disease:
Arteriosclerosis:hardening ofarteries. Risk Factors:
Hyperlipidaemia
-
Atherosclerosis:hardening ofarteries, in addition to athero/plaque formation. -
obesity
occurs due to endothelial injury on background hypercholesterolaemia. HTN
· -
a of
complications:stenosis, Thrombosis, Aneurysm. Smoking
· -
DM
-
Acute Limb Ischaemia
FH
-
sudden perfusion decrease due to sudden arterial occlusion.
caused by Thrombus/Embolism and Trauma/Transection. Presentation:
·
for AF
lokout or Aortic Dissection as
underlying
·
cause.
Aortic Dissection would presentwith Radio Radial/Femoral Delay.
*
-
ain
allor
Management: Paralysis
·
1. Aspirin Parasthesia
Strong Analgesia, Oz 2.
Anticoagulation (Heparin) ↑ ulselessness
-
3.
Thrombolysis/Thrombolectomy. Polar Cold
-
·
Consider Bypass surgery if long segments vasculature
of are cut-off.
·
If limb cannot be saved, itis amputated to avoid reperfusion Injury.
·
Post-Op Complications:
Reperfusion Injury -
compounds in blood
increase of tissue ischaemia toxic
after ischaemic limb is reperfused.
FASCIOTOMY
Inflammatorymarkers.: cause systemic vasodilation,
·
and can lead to shock/failure of
every body system.
Compartment Syndrome
-
raised intra-compartmental pressure, occluding arterial/venous supply
and
causing secondary limb ischaemia.
·
treated via Fasciotomy.
Vascular Disease
Peripheral Arterial Disease:
Arteriosclerosis:hardening ofarteries. Risk Factors:
Hyperlipidaemia
-
Atherosclerosis:hardening ofarteries, in addition to athero/plaque formation. -
obesity
occurs due to endothelial injury on background hypercholesterolaemia. HTN
· -
a of
complications:stenosis, Thrombosis, Aneurysm. Smoking
· -
DM
-
Acute Limb Ischaemia
FH
-
sudden perfusion decrease due to sudden arterial occlusion.
caused by Thrombus/Embolism and Trauma/Transection. Presentation:
·
for AF
lokout or Aortic Dissection as
underlying
·
cause.
Aortic Dissection would presentwith Radio Radial/Femoral Delay.
*
-
ain
allor
Management: Paralysis
·
1. Aspirin Parasthesia
Strong Analgesia, Oz 2.
Anticoagulation (Heparin) ↑ ulselessness
-
3.
Thrombolysis/Thrombolectomy. Polar Cold
-
·
Consider Bypass surgery if long segments vasculature
of are cut-off.
·
If limb cannot be saved, itis amputated to avoid reperfusion Injury.
·
Post-Op Complications:
Reperfusion Injury -
compounds in blood
increase of tissue ischaemia toxic
after ischaemic limb is reperfused.
FASCIOTOMY
Inflammatorymarkers.: cause systemic vasodilation,
·
and can lead to shock/failure of
every body system.
Compartment Syndrome
-
raised intra-compartmental pressure, occluding arterial/venous supply
and
causing secondary limb ischaemia.
·
treated via Fasciotomy.
