Peripheral Vascular guidelines

Question 1

ABPI results

Answer 1

>1.2 = calcified
0.9-1.2 = normal
0.7-0.9 = PAD
0.5-0.7 = severe PAD
<0.5 = critical limb ischaemia

Question 2

Mx of PAD

Answer 2

80mg atorvastatin + 75mg clopidogrel

quit smoking and exercise training

Question 3

AAA screening

Answer 3

> 5.5 OR pain OR >1cm/yr growth operate
4.5-5.5 = 3m USS
3-4.5 = 12m USS

Question 4

1st line AAA repair

Answer 4

EVAR

Question 5

Raynauds 1st line and last line

Answer 5

nifedipine CCB

latanoprost or iloprost infusion

Question 6

1st line for venous ulcers and varicose veins

Answer 6

4 layer bandaging (must exclude arterial disease with ABPI first!)

Question 7

Skin graft in venous ulcer?

Answer 7

If not healing after 12w or >10cm2 affected