Peripheral and Visceral Aneurysms
Renal Artery Disease
Aneurysm Repair
Geaux Sports!
Down da Bayou
100
What are the most common symptomatic presentations of patients with peripheral artery aneurysms?
Thromboembolism that can potentially lead to limb-threatening ischemia
100
What is the best treatment option for a patient with renal artery stenosis?
Renal artery angioplasty with stenting is safe and effective option for treatment of severe, medically refractory hypertension. While close to 5% experience a cure, 80% demonstrate significant improvement.
100
For pseudoaneurysm repairs when should you consider open repair?
Patients with acute limb ischemia, active infection requiring debridement, or a very large hematoma with overlying skin compromise
100
Name all of the major league teams in Louisiana (NHL, NFL, MLB, NBA, MLB)
No NHL or MLB teams :(
New Orleans Saints
New Orleans Pelicans
100
How many counties are located in Louisiana?
ZERO! We have Parishes not county and there are 64.
200
What is the most common etiology of hepatic artery aneurysms and where are they most likely to be located?
Atherosclerotic, 80% are extrahepatic, and is most commonly in the Common Hepatic
200
What subgroups of patients is renal artery stenosis more likely?
Early age of onset, patients with atherosclerotic disease or CAD, or medically refractory hypertension and renal insufficiency
200
What are the boundaries of the femoral triangle and where is the artery in relation to the femoral nerve and vein?
Superiorly: inguinal ligament. Laterally: Sartorius Medially: Adductor Longus; the femoral nerve is lateral to the artery and the femoral vein is medial.
200
Selected 4th overall in the 2025 NFL draft, this offensive lineman was born in Monroe, LA and attended my rival high school, he is going to his first Super Bowel with the New England Patriots.
Who is Will Campbell?
200
Dr. Lairmore of LSU Health Shreveport helped discover this gene, later found to lead to Multiple Endocrine Neoplasia type 2.
RET proto-oncogene
300
What is the length of the landing zone needed to successfully endovascularly repair a peripheral aneurysm?
2cm, proximally and distally. Also need lack of vessel tortuosity, and an aneurysm that is not extremely enlarged
300
What renal artery systolic velocity OR renal artery to aorta velocity ratio is consistent with a hemodynamically significant stenosis?
Renal artery systolic velocity > 180 cm/s , renal artery to aorta velocity ratio > 3.5
(SCORE has used numbers like 150 cm/s btw)
300
What neck length and width should you avoid using ultrasound guided thrombin injection?
Neck > 1 cm wide and < 0.5 cm long; this may lead to distal embolization
300
LET's GEAUX MUDBUGS! The Shreveport mudbugs are a North American Hockey League team with the famous mascot, Claw'd. What NHL team are they a feeder for, and when was THAT team's last Stanley cup final APPEARANCE?
Who are the Dallas Stars, last appearance 2019-2020?
300
Born in Lake Charles, LA, this Cardiothoracic surgeon was a pioneer in his field, and has an OR tool named after him (hurry, there's a bleeder!).
Who is Dr. Debakey?
400
Splenic artery aneurysms comprise 60% of visceral aneurysms, what are two risk factors for this condition?
Pregnancy and portal hypertension
400
What are the three most common causes of renal artery stenosis in order starting with most common?
Atherosclerosis, fibromuscular dysplasia, renal artery dissection.
400
What size of femoral and popliteal aneurysms can usually be managed non operatively with observation and surveillance imaging? Assuming there are no infections, skin compromise, etc.
<2.5cm for femoral and <2.0 cm for popliteal
400
My grandpa went to Louisiana Tech (around the same time), the alma mater of this sports caster, known for 14 seasons with the Steelers and four super bowl wins in the 1970s.
Who is Terry Bradshaw?
400
In traditional Cajun cooking, what is the Holy Trinity? and Bonus if you know the pope!
Onion, Celery, Bell pepper. Garlic is the pope!
500
What visceral artery aneurysms have the highest rupture rate (and what is it)?
Gastroepiploic - 90%
500
What is the surveillance schedule/method for a patient with RAS? (Bonus 100 if you can name what usually causes restenosis)
Duplex US, initial post op check with repeat examinations at 6 month intervals for 2 years then annually. Reintervention is considered for all if there are clinical manifestations of restenosis which is usually due to myointimal hyperplasia.
500
Describe the basic steps for femoral aneurysm repairs.
Longitudinal inguinal incision, control proximally and distally, open aneurysm sac (do not necessarily have to resect due to adhesions), exclude aneurysm with interposition graft. May have to reconstruct femoral bifurcation.
500
Arguably one of the greatest college football teams of all time, the championship winning LSU tigers of the 2019-2020 season were coached by Ed Orgeron who attended this small university with a similar name to a more famous illinois school? (Where I went to college! Fork Em Demons!)
What is Northwestern (State University of Louisiana)?
500
Born in (you guessed it) New Orleans, LA, this "Father of Vascular Surgery" (per William Osler) was arguably the earliest to surgically repair aneurysms.
Who is Dr. Matas?