外科-外周血管手术PPT.ppt

Arterial embolism DefinitionA sudden interruption of blood flow to an organ or body part eg. limb Arterial embolism interruption is caused when the artery is blocked by an object (embolus) move in blood stream from its origin to a new location embolus ? blood clot ? bit of tissue or tumor ? gas bubble ? other foreign body Arterial embolism embolus blocks flow of blood in artery the tissues beyond the plug deprived of normal blood supply and oxygen cause severe damage even death of the tissues involved Description Topics ?Subject aspects ?Aneurysmal disease Abdominal aortic aneurysm ?Arterial obliterans Arteriosclerosis obliterans Thromboangiitis obliterans ?Arterial embolism ?Varicose veins ?Deep venous thrombosis Arteriosclerosis obliterans ?Major cause of lower limb morbidity Arteriosclerosis obliterans ?Usually occur in ?aortoiliac distribution ?superficial femoral distribition ?tibial arteries ?Old people 50yr Arteriosclerosis obliterans ?Involve old people50yr ?Risk factor ? Smoke ? Hypertension ? Diabetes Arteriosclerosis obliterans ?Clinical presentation gradual process Asymptomatic extensive collateral circulation Intermittent claudication local ischemic stage(Stage I) Rest pain dystrophic stage (Stage II) gangrene necrotic stage (Stage III) Arteriosclerosis obliterans Fontaine stage system Arteriosclerosis obliterans Noninvasive and imaging test Ankle/ Brachial Index, ABI Test blood pressure in arms and ankles compared to determine blood flowing ABI =l: Normal ABI＜0.6～0.8: intermittent claudication ABI ＜ 0.4: rest pain Arteriosclerosis obliterans Noninvasive and imaging test Duplex scanning Arteriosclerosis obliterans Noninvasive and imaging test Magnetic resonance angiography (MRA) Arteriosclerosis obliterans Invasive and imaging test Digital subtracted angiography (DSA) – select, to find runoff Arteriosclerosis obliterans