Professional Documents
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Arterial Disorders
Arterial Disorders
• Duplex scanning
• Angiography
ANKLE BRACHIAL PRESSURE INDEX
(ABPI)
• Ratio of systolic pressure at ankle to that in
arm
• Resting or normal – 1.0
• Claudication -- <0.9
• Rest pain -- <0.5
• Necrosis -- <0.3
NON SURGICAL MANAGEMENT
• Avoid smoking
• Regular exercise
• Supervised exercise program
• Dietary advice
• Weight loss
MEDICATIONS
• Statins
• Antiplatelets agents
• Aspirin and clopidogral
SURGICAL MANAGEMNT
• Transluminal angioplasty and stenting
Surgical
• Surgical operations with or without graft
• Graft may be dacron or PTFE
• Anaesthetic assessment
• Electrocardiogram and chest radiograph
• Echocardiography or isotope ventriculography,
• cardiopulmonary exercise testing and spirometry
• CT scan
• Duplex scanning
• MR or digital subtraction angiography
OPEN SURGICAL PROCEDURE
• General Anaesthesia , Full length midline incision
• Aorta is exposed, clamps applied above and below the
lesion.
• Colonic ischaemia
• Renal failure
• Management
• Embolisation
• Excisional surgery