Chapter 3: Peripheral Arterial Interventions

Questions From the 2008 Case-Based Review Monograph

Please circle the best answer for each question and return to your VIR fellowship
director.

Name ________________________________

Case 25: Uncontrolled Hypertension, Alan H. Matsumoto, MD, FSIR

Question: The angiogram shows:

A) Atherosclerotic renal artery stenosis

B) Changes consistent with a vasculitis
C) Fibromuscular dysplasia
D) An arteriovenous malformation

Case 26: Worsening Creatinine after Renal Artery Stent, Alan H. Matsumoto, MD,
FSIR
Question: The most likely cause for his worsening renal function and hypertension is:

A) The development of renal artery in-stent restenosis

B) Progression of contralateral renal artery stenosis to a critical stenosis
C) Rapid progression of underlying essential hypertension
D) The development of fibromuscular dysplasia

Case 27: Blue Toes and Rest Pain, Bulent Arslan, MD

Question: The best treatment option based upon the TASC II recommendations for
the left superficial femoral artery lesion in this patient is:

A) Medical therapy with no intervention

B) Endovascular therapy
C) Surgical bypass
D) Open surgical endarterectomy

Case 28: Non-Healing Foot Ulcers, Bulent Arslan, MD

Question: What would be the next best step in managing this complication?

A) Emergent surgical exploration of the thigh and repair of the artery

B) Balloon inflation over the segment of arteriovenous fistula until the fistula
completely closes
 C) Surgical bypass with prosthetic graft and ligation of the SFA above and below
the fistula
D) Placement of a covered stent over the arteriovenous fistula and consideration
for stenting the remaining diseased SFA

Case 29: Buttock and Thigh Claudication, Michael D. Dake, MD

Question: What is the optimal treatment for this patients condition?

A) Aorto-bifemoral bypass graft

B) Left aorto-unilateral iliac endograft
C) Right common iliac stent placement
D) Right common iliac endograft deployment
E) Transcatheter coil embolization with or without injection of thrombin solution

Case 30: Bilateral Lower Extremity Claudication, Michael D. Dake, MD

Question: What would you recommend for this patient in light of these arteriograms?

A) A progressive exercise program with increasing ambulation escalated as

tolerated
B) Aorto-bilateral iliac bypass grafting
C) Focal right common iliac artery stent placement and creation of a right to left
cross femoral-femoral bypass graft
D) Kissing common iliac artery stents
E) Bilateral common iliac stenting, but only after more complete evaluation of
infra-renal abdominal aorta

Case 31: Cold Foot Following Trauma, Clement J. Grassi, MD, FSIR
Question: The diagnostic left lower extremity arteriogram (Fig. 1) shows:

A) An anatomical variant of normal

B) Arterial vasospasm in the posterior tibial artery
C) Posterior tibial artery filling defect; overall findings consistent with thrombus
D) Posterior tibial and dorsalis pedis artery appearance indicating arthritis