Vascular Surgery. Angie Allen, ACNP Stacey Becker, RN . Objectives. Identify our team. Peripheral Artery Disease Cerebral Revascularization Lower Extremity Revascularization Lower Extremity Amputation Abdominal Aortic Aneurysms (endovascular) Thoracic Aortic Aneurysms (endovascular)
Angie Allen, ACNP
Stacey Becker, RN
Carry the consult/resident pager:
First Call for Vascular
Stacey Becker, RN (Dr. Naslund)
Ann Luther, RN
Ann Lacy, RN
1. Occlusive disease: Atherosclerosis is symptomatic by gradually occluding the artery to the target organ or extremity. (kidneys, colon, legs, or arms)
2. Symptoms occur with critical arterial stenosis (75 % of cross sectional of lumen is obliterated)
-Left hemiplegia or monoparesis and right eye visual loss
-Right hemiplegia or monoparesis and left eye visual loss
-Transient visual loss
-”Window shade”, “flashing lights”, or “sparks”
Carotid Artery Stenting
-May require immediate surgical intervention for evacuation
-Order tracheostomy kit Stat to the bedside
Stage 1: Involving skin and dermis-wound care, antibiotics.
Stage 2: Extending to subcutaneous and fatty tissue but not graft-Exploration and washout in the OR, continued wound care and antibiotics.
Stage 3: Graft involvement-Exploration and washout in the OR with graft removal with establishment of new route of perfusion. Continued wound care and 6 weeks of IV antibiotics.