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Lower Extremity Arterial Aneurysm


Presentation

  • Presents the work of a team of nearly 80 internationally respected vascular surgeons and interventional radiologists who focus on the issues and challenges you face in everyday practice.[books.google.com]
  • Snapshot A 50-year-old man presents to his primary care physician for pain in his lower legs with long walks. He reports walking 10 blocks before feeling the pain and that it resolves with rest.[medbullets.com]
  • Isolated superficial femoral artery aneurysms are also uncommon, but one-third of patients present with rupture and one quarter with thrombosis.[basicmedicalkey.com]
  • Laboratory studies/imaging: Elevated cholesterol may be present An arterial duplex will show diminished blood flow to the affected area and will show collateral blood vessels, if present, and is a preferable exam to CTA or MRA from a time and cost effectiveness[clinicaladvisor.com]
Vascular Disease
  • Vascular pain develops when the communication between blood vessels and nerves is interrupted or damaged due to vascular disease or injuries. The following conditions fall under the category of vascular disease.[webmd.com]
  • Common vascular diseases are atherosclerosis , aortic aneurysms, peripheral vascular disease, carotid artery disease.[vascularsurgery.euroscicon.com]
  • A venous ultrasound provides diagnostic images of the vessels within the lower extremities, most commonly used to diagnose peripheral vascular disease.[heartcarecfl.com]
  • Arterial duplex can show plaque buildup in arteries to help detect peripheral vascular disease (PVD).[vascularsurgerydocs.com]
  • diseases I73.0 Raynaud's syndrome I73.00 …… without gangrene I73.1 Thromboangiitis obliterans [Buerger's disease] I73.8 Other specified peripheral vascular diseases Reimbursement claims with a date of service on or after October 1, 2015 require the use[icd10data.com]
Femoral Bruit
  • […] thigh: A femoral bruit audible during systole and diastole is diagnostic for arteriovenous fistula (after femoral artery puncture in cardiac catheterization), Popliteal bruits (behind the knee) Whenever possible listen for femoral bruits and palpate[clinicaladvisor.com]
  • A physical exam in our laboratory identifies any diminished wrist or foot pulses or the presence of supraclavicular or femoral bruits.[pacificvascular.com]
Skin Ulcer
  • A significant proportion of these patients develop permanent irreversible damage in the affected leg veins and their valves, resulting in abnormal pooling of blood in the leg, chronic leg pain, fatigue, swelling and in extreme cases, severe skin ulcers[cirse.org]
Foot Pain
  • Common symptoms include: Pain behind the knee An edema (collection of watery fluid) in the lower leg Foot pain Ulcers on the skin of the feet that don't heal Popliteal Aneurysms: Diagnosis & Treatment We can diagnose you through tests that include: Ultrasound[heart.uvahealth.com]
  • pain (peroneotibial disease) Arms can be involved as well: Arm claudication can be triggered by combing hair, washing hair, or lifting arms (do not confuse with hypothyroidism and PMR); Arm claudication can be associated with arm heaviness, weakness,[clinicaladvisor.com]

Treatment

  • […] and harvest of the femoropopliteal vein; and endovascular treatment of aortic arch vessels, subclavian and axillary artery.[books.google.com]
  • Endovascular Treatment of Chronic Venous Occlusion 286. Endovascular Laser Treatment of Varicose Veins 287. Endovascular Radiofrequency Treatment of Varicose Veins 288. Injection Treatment of Lower Extremity Varicose Veins 289.[euro-libris.ro]
  • […] reported for the aneurysm treatment.) 10.[evtoday.com]
  • Open and endovascular treatment of popliteal aneurysms.[racgp.org.au]

Prognosis

  • […] stranding adjacent collection /- gas adjacent reactive lymphadenopathy hazy aortic wall with rupture 4 retroperitoneal para-aortic fluid collection and vertebral erosion thrombus formation within a false lumen after aneurysmal rupture Treatment and prognosis[radiopaedia.org]
  • Renal artery aneurysms: natural history and prognosis. Ann Surg 1983;197:348–52. Martin III RS, Meacham PW, Ditesheim JA, Mulherin JL Jr, Edwards WH. Renal artery aneurysm: selective treatment for hypertension and prevention of rupture.[racgp.org.au]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • This section is organized by major disease processes followed by the etiologies of inadequate perfusion to the extremities that fall under each category.[clinicaladvisor.com]
  • References Cheshire WP et al: Spinal cord infarction: etiology and outcome. Neurology. 47(2): 321-30, 1996. Weidauer S et al: Spinal cord infarction: MR imaging and clinical features in 16 cases.[theassr.org]
  • […] resulting from obstruction of the peripheral arteries Epidemiology demographics affects older patients male female location most commonly affects the popliteal artery risk factors smoking hypertension hyperlipidemia family history renal disease diabetes Etiology[medbullets.com]
  • ., leg pain of non-vascular etiology).[pacificvascular.com]

Epidemiology

  • The authors also examine the epidemiology of LEAD, the effects of smoking and effective smoking cessation programs, its pathogenesis and its association with lipid abnormalities and hypertension, aggressive risk factor modification, and the need to measure[books.google.com]
  • The epidemiology of mycotic aneurysms mirrors that of identifiable risk factors: infective endocarditis (common) intravenous drug use immunosuppression iatrogenic arterial trauma pre-existing atherosclerotic plaque or a native aneurysm prosthetic arterial[radiopaedia.org]
  • Introduction Clinical definition ischemia resulting from obstruction of the peripheral arteries Epidemiology demographics affects older patients male female location most commonly affects the popliteal artery risk factors smoking hypertension hyperlipidemia[medbullets.com]
Sex distribution
Age distribution

Pathophysiology

  • 15 Delayed onset of paraplegia suggests that postoperative events such as hypotension, increased CSF pressure, or embolization, may have triggered the onset of neurologic dysfunction in patients at risk for spinal cord ischemia. 14–15 Based on this pathophysiology[anesthesiology.pubs.asahq.org]
  • Discussion Vessel trauma can cause systemic, regional and local pathophysiological problems. Local and regional reactions are determined by the vascular trauma type ( 1 ). The mechanism of injury is gunshot in 40% of the cases ( 7 ).[ispub.com]
  • Pathophysiology of Aortic Dissections 69. Arteriomegaly and Aneurysmosis 70. Vascular complications of Marfan syndrome, Ehlers-Danlos Syndrome and Loeys-Dietz Syndrome 71. Ultrasonography in the Evaluation of Abdominal Aortic Aneurysms 72.[euro-libris.ro]

Prevention

  • Prevent and plan for complications prior to a procedure thanks to a step-by-step approach to each procedure accompanied by relevant imaging studies.[books.google.com]
  • Prevention See the separate Primary Prevention of Cardiovascular Disease and Cardiovascular Risk Assessment articles.[patient.info]
  • A major treatment focus is to prevent these serious complications. Claudication can progress into the more severe critical limb ischemia.[ucdmc.ucdavis.edu]

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