Veidlapa Nr. M-3 (8)
Study Course Description
Multifocal atherosclerosis. Screening system. Diabetes mellitus in vascular surgery
Course Code
RAKI_022
Branch of Science
Clinical medicine
ECTS
7.95
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Ieva Griķe
Residency Speciality
Speciality
Vascular surgeon
Supervisor of Medical Speciality
Svetlana Thora
Contacts
-
About Study Course
Objective
The atherosclerosis is a generalized disease simultaneous lesions may in the carotid, coronary, aorta and the peripheral arteries in the from of: unifocal, bifocal and multifocal occlusive or aneurysmal disease; the management of these patients is still unclear and in some cases controversial.
Learning Outcomes
Knowledge
1.The most important predictors of progression of critical stenosis include diabets, smoking and low ABI. The goal of management are to reduce cardiovascular risk, relieve lower extremity symptoms, walking capaciti and quality of life.
Skills
1.A cost effective open surgical and endovascular procedures with low morbidity and mortality rate can achived in a patients with multifocal aterosklerosis if we in time detected/repaired concomitant vascular pathology.
Competences
1.- Carotid angioplasty or endarterectomy wich may become the treatment of choice in multifocal atherosclerotic patients requiring myocardial revascularization. - Endovascular repair of the abdominal aortic aneurysm performed as a first procedure, followed by CABG (myocardial revascularization). - The risk of vascular events or progression of lower limb ischemia are elevated markers: Homocistein, Lp(a) lipoproteids, CRP and Fibrinogen. We need to controls thats marrkers. - While bypass graft patency and limb salvage are achievable, the impact of procedure on patient`s quality of life is less well defined.
Assessment
Individual work
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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.
Individual work |
-
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-
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To describle in general terms the structure of multifocal vascular demage and mortality associated with cardio- /cerebro - vascular pathology.
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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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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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|---|---|---|
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On site
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Specialized room
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Topics
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Vascular imagings: US, Ankle - brachial index (ABI), Duplex Ultrasonography, VEM, Ehocardiography; CTA, MRA, DSA, Coronarography.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Five steps of the cumulative illness scale were: for normal, for mild problems, for moderate problems, for severe problems, for life - threatening impairment.
Severe symptomatic/asimptomatic carotid artery stenosis in coronary patients needing miocardial revascularization? The are two options: anstable angina and carotid stenosis can be treated with angioplasty.,
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Seminar
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Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Five steps of the cumulative illness scale were: for normal, for mild problems, for moderate problems, for severe problems, for life - threatening impairment.
Severe symptomatic/asimptomatic carotid artery stenosis in coronary patients needing miocardial revascularization? The are two options: anstable angina and carotid stenosis can be treated with angioplasty.,
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
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Following six options concerning of the corrective procedure:
* One-stage CABG and simultaneous aortic aneurysm (AAA) repair for patients with established left ventricular dysfunction,
* One stage CABG performed with a beating heart and simultaneous AAA repair,
* Two stage - CABG folowed by AAA repair with a two month timing arter myocardial revascularization'
* Reversed two stage repairing'
* Angioplasty por coronary artery disease before AAA repair'
* Endovascular AAA repair before CABG.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
|
Specialized room
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Topics
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In patients with coronary and carotid and concomitant chronic critical limb ischemia and diabetes and noncalcified, nonostial and diabetes and noncalcified, nonostial stenosis are most favorably treated by balloon angioplasty with stenting or drug - eluting stent implantation. Subintimal angioplasty is a techically difficult procedure for limb salvage in the management of select patients with crural and popliteal arteries occlusive disease. For convential bypasses for inflow mainly use a deep
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Total ECTS (Creditpoints):
7.95
Number of Residency Seminars:
-
Length (weeks):
-
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Edit. by Michael Jacobs
2.
Prevention and Management of Vascular Complication
3.
Edizioni Minerva Medica, Turin 2011, 28 p.