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Upper Extremity Arterial Disease

Upper Extremity Arterial Disease. Objectives. Upper extremity anatomy Overview of diseases affecting large , medium and small size arteries. Overview of treatments. Anatomy. Anatomy. Anatomy. Anatomy. Pathophysiology. Atherosclerosis Thromboembolism Iatrogenic Trauma

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Upper Extremity Arterial Disease

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  1. Upper Extremity Arterial Disease

  2. Objectives Upper extremity anatomy Overview of diseases affecting large , medium and small size arteries. Overview of treatments

  3. Anatomy

  4. Anatomy

  5. Anatomy

  6. Anatomy

  7. Pathophysiology Atherosclerosis Thromboembolism Iatrogenic Trauma Buerger’s Disease Occupational Injury Vasospastic disorder Inflammatory Arteriopathies Thoracic outlet Ergotamine abuse Connective Tissue disorders

  8. Clinical Manifestations

  9. Large artery disease

  10. Small vessel disease

  11. Evaluation

  12. Evaluation of Upper extremity arterial disease

  13. Vascular Lab

  14. Vascular Lab

  15. Vascular Lab

  16. ATHEROSCLEROSIS

  17. THROMBOEMBOLISM

  18. Pathophysiology

  19. Iatrogenic Surgical treatment Bypass, interposition Thrombectomy, embolectomy +/- Evacuation of hematoma

  20. Trauma

  21. Treatment

  22. Inflammatory Arteriopathies

  23. Inflammatory Arteriopathies

  24. Inflammatory Arteriopathies

  25. Thoracic outlet syndrome

  26. Thoracic outlet syndrome

  27. Thoracic outlet syndrome

  28. Connective tissue disorders

  29. Connective tissue disorders

  30. Buerger’s diseaseThromboangiitisobilterans

  31. Buerger’s diseaseThromboangiitisobilterans

  32. Buerger’s diseaseThromboangiitisobilterans

  33. Occupational InjuryVibration Syndrome

  34. Hypothenar hammer

  35. Treatment

  36. Vasospastic Disorder

  37. Raynaud’s Syndrome • Episodic, exaggerated vascular response to cold or emotional a stimuli. • Classic triphasiccolor change. • 2/3 of patients have the classic change. • Prevalence in colder climates = 15-20% • Prevalence warmer climates= 2-3%

  38. Raynaud’s Syndrome

  39. Raynaud’sDisease

  40. Raynaud’s Disease

  41. Raynaud’sPhenomenon

  42. Associated Diseases Scleroderma Systemic Lupus Erythematosus Rheumatoid arthritis Sjogren’s Syndrome Buerger’s Disease Vibration Arterial injury HypersentivityAngiitis Fibromuscular Disease Frostbite

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