الفهرس 
COMMON ARTERIAL DISEASES & THEIR tlAMAGEMENTOnly 14 pages are availabe for public view
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Abstract
Fol lowing major arterial surgery the vascul ar patients are subject to specific effects that
affect the body both general ly and systemical ly which is of paramount importance as the success
of an operation depends on the knowledge of the vascul ar surgeon by these effects and how to deal
with to correct any aberration.
The general and systemic body effects shortly includes:
• Dramatic decrease in cardiac output and arterial pressure.
• Impairment of the oxygen del ivery to the tissues.
• serious coagul ation defects.
• Left ventricu l ar diletation. cardiac ischemia and
heart fai lure.
• Severe hyp.,rtension wi th subsequent hemorrhage cllld neurol ogical deficits.
cerebra l
• Decrease of the bl ood flow to the viscera, kidneys and spinal cord with subsequent co lonic
ischemia, renal failure, and irreversibl e ischemic cord
damage.
• Significant metabol ic acidosis and electrolyte abnorma l ities.
The purpose of this work is to further stress the need for proper pre, intra, and postoperative
monitoring which includes :
.. Perioperative
pool scan.
electrocardiogram
and gated
blood
* Routine laboratory data including urine analysis, complete bl ood count, serum electrolytes,
blood urea nitrogen, creatinine l evels, platelet count and prothrombine and partial thromoblastine
time.
* Invasive monitoring of cardiac function as arterial
cannulation, central venous pressure l ine, and Swan-Ganz catheter.
* Arteriograms,ultra sound, computerized tomograms and
Doppler flow detector.
This study included :
* Physiology of th.., drterial system.
• Common arterial dis.,ases and their management .
• Common associated systemic diseases in vascular patients .
* Detailed review of general effects .
and systemic body
* Methods of early detection and management of such aberrations.