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CVIU Vascular Week 9

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CVIU Vascular Week 9

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CVIU Vascular Week
9



1. LIMA =: left internal mammary artery
2. LIMA aka: internal thoracic artery
3. What are the advantages for using the LIMA for CABG over other bypass arteries?: less muscular, less prone
to spasm or develop plaque, similar in size to coronaries, conduit for LAD bypass

4. What coronary is LIMA CABG used for?: LAD
5. 1st branch of ascending aorta =: coronaries
6. 1st branch of the aortic arch =: innominate
7. How do you differentiate the vert from other branches of SUBC?: low resis- tance in vert (waveform)
8. Which artery is usually larger (ulnar or radial)?: ulnar 60%
9. Where does the ulnar artery terminate?: superficial palmar arch
10.Where does the radial artery terminate?: deep palmar arch
11.branches from the palmer arches give rise to ?: metacarpals and digital arteries
12.what is the first major branch of the subclavian ?: vertebral
13.Where is stenosis most common in upper extremeties?: SUBC
14.focal stenosis of an artery is treated with?: stenting
15.complete occlusion in an artery is treated with ?: bypass
16.Causes of upper arterial disease?: TOS, embolism, occlusion, trauma, ray- nauds
17.right subc originates distal to left subc and passes posterior to the esoph- agus to the right side =: aberant
right SUBC

18.aberrant right subclavian AKA: retroesophageal
19.Aberant right subc arising from dilated segment of proximal DAO =: kom- merell's diverticulum
20.difficulty swallowing from compression of the esophagus with an aberant right subc; palsy of the recurrent
laryngeal nerve =: ortner's syndrome

21.what occurs less frequently in upper extremities than lower extremities?-
: upper extremity arterial disease
1/
11

, CVIU Vascular Week
9
22.causes of upper extremity arterial disease: mechanical obstruction embolism
trauma raynauds
digital artery occlusion

23.who's affected by TOS?: active people with repetitive motion
24.Areas of potential compression with TOS =: scalene triangle costoclavicular space
pectoralis minor space




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