Veidlapa Nr. M-3 (8)
Study Course Description
Arterial Occluding Pathologies. Operative, Endovascular Revascularization
Course Code
RAKI_028
Branch of Science
Anatomy; Clinical medicine
ECTS
48.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Sanita Pumpure
Residency Speciality
Speciality
Vascular surgeon
Supervisor of Medical Speciality
Svetlana Thora
Contacts
-
About Study Course
Objective
To ensure the acquisition and improvement of theoretical knowledge and practical skills in arterial occlusive pathologies, in accordance with the requirements of the regulations of the specialty of vascular surgery, in order to prepare the doctor for certification in the specialty of vascular surgeon, in accordance with the regulatory documents of the Republic of Latvia.
Learning Outcomes
Knowledge
1.-Indications, contraindications for revascularization, -Conservative treatment methods, -Early and late complications of revascularization, -Know exactly the anatomical courses of blood vessels for more frequent reconstructions.
Skills
1.The student will be able to: - Diagnose the level of arterial occlusion, - Timely detection of early complications after revascularization, -Choose the diagnostic method and principles of treatment in case of complications, -Give patients recommendations after operations. Learn basic and intermediate surgical and endovascular procedure skills. Designate and interpret the necessary pre- and post-operative examination materials, as well as in the remote period. Designate competent recommendations for patients with occlusive arterial diseases.
Competences
1.The student will be able to: - Diagnose the level of arterial occlusion, - Timely detection of early complications after revascularization, - Choose diagnostic methods and treatment principles in cases of complications, - Give patients recommendations after operations.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
-
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-
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In-depth research of seminar topics and preparation of presentations for each seminar.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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Examination of theoretical knowledge and practical skills at the end of the study course in a 10-point system.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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Topics
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Causes of chronic leg ischemia, localization of vascular lesions: clinic, syndromes, diagnosis. Choice of treatment.
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Seminar
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Modality
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Location
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-
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-
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Topics
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Epidemiology, prognosis, prevention of arterial diseases. Endovasal dilatation, reconstruction.
Indications for revascularization. Subintimal angioplasty.
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Seminar
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Modality
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Location
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-
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-
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Topics
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Conservative treatment of chronic limb ischemia.
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Seminar
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Modality
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Location
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-
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-
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Topics
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Pathology of abdominal visceral branches. Collateral network, chronic and acute visceral ischemia. Vasculogenic impotence.
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Seminar
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Modality
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Location
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-
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Topics
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Causes of secondary hypertension. Vasorenal hypertension. PTA, stent implantation, reconstruction.
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Seminar
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Modality
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Location
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-
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-
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Topics
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Atherosclerosis, aorto-arteritis, fibromuscular dysplasia, thromboangitis in the structure of pathologies. Treatment principles, differences.
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Seminar
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Modality
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Location
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-
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Topics
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Surgical and postoperative complications and prevention. Specific complications:
Bleeding, thrombosis, acute ischemia, spinal cord, intestinal blood circulation disorders, lympho-venous insufficiency.
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Seminar
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Modality
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Location
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-
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-
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Topics
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Entrapment syndromes in vascular surgery.
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Seminar
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Modality
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Location
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Topics
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Infection in reconstructive vascular surgery in the early and remote period. Investigation, conservative and operative treatment methods.
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Seminar
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Modality
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Location
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Topics
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The place of lumbar sympathectomy in the treatment of chronic leg ischemia.
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Seminar
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Modality
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Location
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Topics
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Carotid artery pathology: stenosis, occlusion, congenital anomalies. Symptomatics, diagnostics, screening.
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Seminar
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Modality
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Location
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-
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Topics
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Indications for operative therapy in symptomatic and asymptomatic carotid artery stenoses. Stroke prevention.
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Seminar
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Modality
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Location
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Topics
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Subclavian, vertebral, brachial artery pathology. Steal syndrome, Thoracic outlet syndrome. Clinic, diagnosis, differential diagnosis, scope of investigation, types of operative therapy. Results of endovasal therapy.
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Seminar
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Modality
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Location
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-
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Topics
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Thoracic sympathectomy for arm ischemia, indications, prognosis, complications.
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Seminar
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Modality
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Location
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-
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Topics
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Endovasal dilatation, stent implantation in brachiocephalic artery stenosis and occlusion. Extraanatomic bypass, hybrid revascularization methods.
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Seminar
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Modality
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Location
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Topics
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Endovasal dilatation, indications, technology, preparation, outcome prediction, control, complications, long-term follow-up. Closer and further perspectives.
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Seminar
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Modality
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Location
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-
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Topics
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Thoracic, abdominal aorta dissection, rupture: diagnosis, differential diagnosis, treatment options and tactics. Risk factors affecting the chances of survival.
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Seminar
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Modality
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Location
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Topics
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Aneurysm frequency, locations, complications. Operative treatment of chronic, complicated, acute aneurysm. Stent - use of a prosthesis in cases of aneurysms, dissections, ruptures of the thoracic and abdominal aorta.
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Seminar
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Modality
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Location
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-
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Topics
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Surgical anatomy, physiology of the venous system. Modern theories of the development of chronic venous insufficiency. Investigation options, rational treatment tactics.
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Seminar
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Modality
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Location
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-
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-
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Topics
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Varicose disease. Diagnostics and treatment methods. Modern operative outpatient phlebology. Relapse prevention. Sclerotherapy.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Reconstructive phlebology.
Venous aneurysms.
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Seminar
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Modality
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Location
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-
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-
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Topics
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Conservative treatment of HVN.
Trophic ulcers. Skin transplantation.
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Seminar
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Modality
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Location
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-
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-
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Topics
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Acute deep vein thrombosis. PAE. Epidemiology, diagnosis, treatment options, prevention.
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Seminar
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Modality
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Location
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-
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Topics
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Thrombectomy. Thrombolysis. Deep vein thrombosis in pregnant women.
The role of thrombophilia.
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Seminar
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Modality
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Location
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-
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Topics
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Pulmonary artery embolism. Sources, frequency, prevention, methods of treatment. Implantation of a cava filter. Thrombectomy. Modern anticoagulants.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Congenital anomalies of the deep veins. Cavernous hemangiomas. Arteriovenous fistulas.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Chronic venous insufficiency. Definition, etiology, pathogenesis, diagnosis, differential diagnosis, treatment. Trophic ulcers of venous origin – a surgical problem.
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Seminar
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Modality
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Location
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-
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Topics
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Portal hypertension as a problem in vascular surgery. V. portae thrombosis, subclavian vein thrombosis.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Thoracic outlet syndrome. Superior, inferior vena cava thrombosis. The role of thrombophilia.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Diabetes and trophic changes in the legs.
Diabetic foot.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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Topics
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Diabetes and trophic changes in the legs.
Diabetic foot.
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Total ECTS (Creditpoints):
48.00
Number of Residency Seminars:
31
Length (weeks):
36
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Vascular Surgery. A Clinical Guide to Decision-making. 1st Edition - October 14, 2021
2.
R. Rutherford. Vascular Surgery. W.B. Saunders Company, 2014, V I-II 3057 p.
3.
Diagnostic Imaging Interventional Procedures. Edited by T.Gregory Walker. Amirsys, inc Canada 2013, 689p
4.
W.S. Moore, J.C. Jimenez Handbook of Vascular Disease Management. World Scientific Publishing Company, University of California, Los Angeles, USA, 2011, 313 p.
5.
Ed. By M.Jacobs. New Techniques in Vascular Procedures. Ediz. Minerva Medica, Torino, 2012., 133 – 188 p.
6.
C.D.Liapis Chief Editiors. Vascular Surgery. Springer, New York, 2007., 1 - 127 p.
7.
Linda Hands, M.Murphy, M.Sharp, S.Ray-Chaudhuri. Vascular Surgery. Oxford specialist hand books in surgery. Oxford University Press, 2007., 1 – 351; 219 - 256 p.
8.
M.A. Creager, E. Braunwald. Atlas of Vascular Disease. Spriger, 2008., 51 – 82, 159 – 174, 178 – 215 p.