Vascular Registry CCI Review Latest Update Graded A+

Vascular Registry CCI Review Latest Update Graded A+ Abdominal Aorta waveform(s) Low resistance proximal, Higher resistance beyond renals Celiac Artery supplies Liver, spleen, stomach, & proximal small bowel Branches of the Abdominal AO 1st major-Celiac artery (trunk/axis) 2nd major-SMA Renals 3rd major-IMA (after renals) Celiac Axis Branches into Common Hepatic (to right), Splenic, & Left Gastric (off left) Common Hepatic Arteries Gives rise to the Gastroduodenal artery in PANC head & divides into Rt & Lt Hepatics Splenic Artery Branches left and posteriosuperior to PANC body/tail SMA/IMA waveforms High resistance preprandial/Low resistance postprandial SMA supplies Bowel from duodenum to prox small bowel IMA supplies Bowel descending & rectosigmoid colon Right Renal Artery Branches anterolateral, posterior to IVC Left Renal Artery Branches posterolateral Renal Artery waveform Low resistance Portal vein is usually formed by the confluence of SMV & Splenic veins *It also receives blood from the inferior mesenteric, gastric, and cystic veins Portals walls/waveforma echogenic walls & phasic waveforms Renal veins are formed by renal tributaries Left Renal Vein Longer than Rt.; Receives suprarenal/Gonadal vein Left Renal pathway Anterior to AO; Posterior to SMA Right Renal Vein No tributaries; shorter Hepatic Veins Hepatofugal flow; from liver to IVC Patient status for Abdominal Vascular Imaging NPO 8-12 hours Ectasia Local diameter increase with small bulge (20% increase for Ao 3cm) AAA growth rate 1-2mm/year until 3-4cm; 5 mm/yr 4cm Aneurysm classification 2-3cm; 3-4cm for AAA AAA Intervention 5.5cm (high risk for rupture-catastrophic) Fusiform Concentric enlargement; All 3