الجامعة السورية الخاصة - PowerPoint PPT Presentation

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الجامعة السورية الخاصة

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  1. الجامعة السورية الخاصة كلية الطب البشري قسم الجـراحـة الدكــتـور عاصم قبطان MD – FRCS www.surgi-guide.com 3rd lecture M.A.Kubtan

  2. Medical support in chronic arterial iscaemia • Medical treatment for associated disease such as diabetes , hyperlipidemia. • Beta blockers may exacerbate claudication . • Anti platelet agent , aspirin , clopidogrel as an alternative . • Vasodilators are unlikely to be beneficial. M.A.Kubtan

  3. Collateral vessels develop 6 months after an occlusive episode . Intermittent claudication considered relative indication for interventional or conventional treatment . Rest pain considered an absolute indication for interventional or conventional treatment . M.A.Kubtan

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  6. Stenos left renal arterya. before dilatation , b. after balloon dilatation M.A.Kubtan

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  11. Stent deployment M.A.Kubtan

  12. Arterial stent M.A.Kubtan

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  14. Operation for arterial stenosis or occlusion • Site of disease • Aortoiliac occlusion . • Aorto femoral occluaion. • Superfacial femoral artery occlusion . • Popleteal occlusion . • Posterior tebial artery occlusion . • Type of operation • Aortoiliac bypass . • Aortofemoral bypass . • Femoropopleteal bypass. • Femorodistalpopleteal bypass. • Femorodistal bypass . M.A.Kubtan

  15. Types of bypass grafts • Autogenoussaphenous vein ( as reversed conduit or in situ after valve disruption ). • Dacron graft . • PTFE ( polytetrafluroethylene ) graft . • PTFE ( rings supported ) . • Human umbilical vein treated graft . M.A.Kubtan

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