Multifocal atherosclerosis. Screening system. Diabetes mellitus in vascular surgery (RAKI_022)
About Study Course
Objective
The atherosclerosis is a generalized disease simultaneous lesions may in the carotid, coronary, aorta and the peripheral arteries in the from of: unifocal, bifocal and multifocal occlusive or aneurysmal disease; the management of these patients is still unclear and in some cases controversial.
Learning outcomes
1.The most important predictors of progression of critical stenosis include diabets, smoking and low ABI. The goal of management are to reduce cardiovascular risk, relieve lower extremity symptoms, walking capaciti and quality of life.
1.A cost effective open surgical and endovascular procedures with low morbidity and mortality rate can achived in a patients with multifocal aterosklerosis if we in time detected/repaired concomitant vascular pathology.
1.- Carotid angioplasty or endarterectomy wich may become the treatment of choice in multifocal atherosclerotic patients requiring myocardial revascularization.
- Endovascular repair of the abdominal aortic aneurysm performed as a first procedure, followed by CABG (myocardial revascularization).
- The risk of vascular events or progression of lower limb ischemia are elevated markers: Homocistein, Lp(a) lipoproteids, CRP and Fibrinogen. We need to controls thats marrkers.
- While bypass graft patency and limb salvage are achievable, the impact of procedure on patient`s quality of life is less well defined.
