Deck 23: Peripheral Vascular Surgery

Question 1

________is characterized by the formation of yellow-colored plaques of cholesterol and lipids on the inner layers of the walls.

Answer 1

Atherosclerosis

Question 2

The patient may be placed in ________to increase the size of the subclavian vein during insertion of a central venous catheter or venous access port.

Answer 2

Trendelenburg

Question 3

A ________is a warning sign of a stroke or CVA (cerebrovascular accident).

Answer 3

transient ischemic attack

Question 4

The plaque within an artery can be removed with a _______and fine vascular DeBakey forceps.

Question 5

The removal of plaque is called a(n) ________.

Question 6

Match the term with the correct use or definition.

-Embolectomy

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 7

Match the term with the correct use or definition.

-Doppler

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 8

Match the term with the correct use or definition.

-Anastomosis

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 9

Match the term with the correct use or definition.

-Vessel loops

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 10

Match the term with the correct use or definition.

-Suture boots

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 11

Match the term with the correct use or definition.

-Satinsky

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 12

Match the term with the correct use or definition.

-Castroviejo

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 13

Match the term with the correct use or definition.

-Javid

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 14

Match the term with the correct use or definition.

-Potts

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 15

Match the term with the correct use or definition.

-Bulldog or serrefine

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 16

Match the term with the correct use or definition.

-Pledget

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 17

Match the term with the correct use or definition.

-Heparin

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 18

Match the term with the correct use or definition.

-Protamine sulfate

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 19

Match the term with the correct use or definition.

-Vitamin K

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 20

Match the term with the correct use or definition.

-Papaverine

A) Side to side, end to end, or side to end.
B) Shunt (clamps applied to hold in place).
C) Used with hemostat to tag a suture.
D) Fogarty catheter used.
E) Assesses pulse.
F) Reinforce leak on a 6-0 Prolene (polypropylene); commonly single-armed.
G) Vasodilator.
H) Small clamp; carefully counted.
I) Partial occlusion clamp.
J) Reversal agent for Coumadin/necessary for clotting.
K) Anticoagulant given just prior to cross-clamping a major artery.
L) Needle holder for small 6-0 and 7-0 suture.
M) Scissor used to extend the arteriotomy.
N) Used to isolate a vessel or nerve; retraction.
O) Antidote for heparin.

Question 21

Name the three layers of the vessels. Which layer commonly needs repair with a carotid endarterectomy?

Question 22

What is the difference between a vein and an artery? If you use a vein for an autograft, what has to be done to prevent blockage after the anastomosis?

Question 23

During the peripheral vascular procedure, there are duties for the surgical technologist. Identify the actions to take for each of these events.