Vascular Surgery — Flashcards

Flashcard 21: In the 2020 update of the CEAP classification, what is the **pathophysiologic (P) component** for a patient with venous obstruction?

Answer: Po

Extra: The CEAP classification (updated in 2020) is the international standard for describing chronic venous disorders: - **C**linical classification (C0–C6): C6 denotes an active venous ulcer. - **E**tiologic classification (Ep, Es, Ec, En): Es stands for secondary (e.g., post-thrombotic). - **A**natomic classification (As, Ad, Ap, An): d = deep, s = superficial, p = perforator. - **P**athophysiologic classification (**Pr, Po, Pr,o, Pn**): **Po** stands for **obstruction**. The 2020 update introduced further refinements (like Esi for intravenous and Ese for extravenous secondary causes) but the basic abbreviation for Pathophysiologic Obstruction remains **Po**.

Flashcard 22: According to the 2020 update of the CEAP classification, the pathophysiology (P) component for combined reflux and obstruction is classified as _____

Answer: Pr,o

Flashcard 23: Pulsating hematoma is associated with which type of aneurysm?

Answer: Pseudoaneurysm (False aneurysm)

Extra: A pseudoaneurysm (false aneurysm) is a collection of blood that forms outside the arterial wall, usually due to a hole in the vessel. Because the blood is contained by the surrounding fibrous tissue rather than the arterial wall layers themselves, it presents as a pulsating hematoma. In contrast, a true aneurysm involves all three layers of the vessel wall.

Flashcard 24: According to the 2020 update of CEAP classification, varicose veins are classified as _____

Answer: C2

Flashcard 25: Type _____ endoleaks are due to inadequate seal between graft components, including fractures.

Answer: III

Flashcard 26: Type _____ endoleaks are due to collateral circulation from aortic side-branches

Answer: II

Flashcard 27: Which therapeutic gas is commonly used to flood the surgical field during cardiac surgery?_____

Answer: CO2

Flashcard 28: Type _____ endoleaks are due to graft porosity.

Answer: IV

Flashcard 29: What is the next step in management of a woman of child-bearing age presenting with a proximal or middle third splenic artery aneurysm of >2cm size?_____

Answer: Proximal and distal ligation of splenic artery

Flashcard 30: Most common sites for peripheral aneurysms include _____ artery

Answer: popliteal