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  • Acute limb ischemia (c), arterial embolectomy (c)

  • Peripheral arterial disease (c), lower extremity bypass (a)

  • Popliteal artery aneurysm (a)

  • Diabetic foot infection (c)

  • Nonhealing foot wound, lower extremity amputations (c)

  • Cerebrovascular disease (c), carotid endarterectomy (a)

  • Acute mesenteric ischemia (c), SMA embolectomy/thrombectomy (a)

  • Chronic mesenteric ischemia, operations for mesenteric occlusive disease (a)

  • Central venous access (c), port placement (c)

  • Venous thromboembolism (c), IVC filter placement (a)

  • Hemodialysis access (c), arteriovenous graft/fistula creation (a)

  • Lower extremity swelling, venous disease (c)

  • Aortoiliac occlusive disease, aortoiliac reconstruction for occlusive disease (a)

  • Acute aortic dissection (a)

  • Abdominal aortic aneurysm (a), abdominal aortic aneurysm repair (a)

  • Splenic artery aneurysm (a)

  • Thoracic outlet syndrome (a)

  • Vascular graft infection and graft-enteric fistula (a), extra-anatomic bypass (a)

  • Femoral artery pseudoaneurysm

(c) = core topic (a) = advanced topic


  • - Be familiar with common vascular exposures—these will help you get through many of the vascular scenarios. Descriptions of the most common vascular exposures are included in this chapter.

  • - You are also expected to be familiar with the basics of endovascular intervention and the use of ultrasound in the diagnosis and management of vascular disease.

  • - Work-up of vascular patients frequently includes duplex U/S because it is useful for rapidly identifying venous or arterial disease, so don’t forget this as part of your work-up, if indicated.

  • - Don’t forget to heparinize!

  • - Consider HIT if the examiners present you with a patient with a drop in platelets and thrombosis while on heparin—send HIT assay, stop heparin, start argatroban or bivalirudin.

  • - Be familiar with how and when to obtain an ankle brachial index (ABI).

  • - Have a low threshold to perform fasciotomy when patient has had limb ischemia >4-6 h.

  • - Consider obtaining cardiac work-up (ECG, ECHO, +/− stress test) in patients undergoing elective vascular operations as many of these patients will have underlying cardiac disease.

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