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Pre-Procedural Factors in Evaluating a Patient for Vascular Access

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So let's talk about the pre-procedural factors

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in evaluating a patient for vascular access.

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So let's meet our patient, Ms. G.

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5 00:00:08,620 --> 00:00:09,129 Cool name.

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So, Ms. G is a 56-year-old woman.

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8 00:00:12,610 --> 00:00:14,110 She has a past medical history of type 2

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diabetes, high blood pressure, hyperlipidemia,

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and she's had a little bit of failed medical

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management for the treatment of stenosis.

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So she was evaluated for a renal artery stent

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placement and now sort of arrives at the

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hospital today for her scheduled operation.

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So here we see an MRA, sort of a little

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rendering there, demonstrating the sort of

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perio-stial, juxtaosteal stenosis in this

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patient who has, uh, renal artery stenosis.

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So what are some of the key pieces of

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information in this vignette that we

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want to sort of kind of call to mind?

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So first and foremost, her

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age, extremely important.

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The presence of diabetes, high

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blood pressure, hyperlipidemia.

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These are sort of things that run with

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the concept of atherosclerotic disease

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that may clue us into an etiology.

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The fact that she's failed medical

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management, also very important.

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And now she's being sort of worked up

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for an alternative therapy, okay, after

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the management, which in the setting

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of sort of renal artery stenosis.

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Next level could sort of kind of be

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sort of a renal artery stent placement.

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So very important sort of items to sort of

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highlight in the clinical vignette as we proceed.

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But for us, our purpose is really to

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sort of kind of key us into the pre-

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procedure realm as we move forward.

Report

Faculty

Mikhail CSS Higgins, MD, MPH

Director, Radiology Medical Student Clerkships; Director, ESIR

Boston University Medical Center

Tags

Vascular Imaging

Vascular

Ultrasound

Interventional

Iatrogenic

Fluoroscopy

Angiography

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