0:01

So let's talk about the pre-procedural factors

0:03

in evaluating a patient for vascular access.

0:06

So let's meet our patient, Ms. G.

0:07

5 00:00:08,620 --> 00:00:09,129 Cool name.

0:09

So, Ms. G is a 56-year-old woman.

0:11

8 00:00:12,610 --> 00:00:14,110 She has a past medical history of type 2

0:14

diabetes, high blood pressure, hyperlipidemia,

0:17

and she's had a little bit of failed medical

0:19

management for the treatment of stenosis.

0:25

So she was evaluated for a renal artery stent

0:27

placement and now sort of arrives at the

0:29

hospital today for her scheduled operation.

0:32

So here we see an MRA, sort of a little

0:35

rendering there, demonstrating the sort of

0:37

perio-stial, juxtaosteal stenosis in this

0:41

patient who has, uh, renal artery stenosis.

0:45

So what are some of the key pieces of

0:47

information in this vignette that we

0:48

want to sort of kind of call to mind?

0:51

So first and foremost, her

0:53

age, extremely important.

0:55

The presence of diabetes, high

0:57

blood pressure, hyperlipidemia.

0:58

These are sort of things that run with

1:01

the concept of atherosclerotic disease

1:03

that may clue us into an etiology.

1:06

The fact that she's failed medical

1:07

management, also very important.

1:09

And now she's being sort of worked up

1:11

for an alternative therapy, okay, after

1:15

the management, which in the setting

1:17

of sort of renal artery stenosis.

1:19

Next level could sort of kind of be

1:21

sort of a renal artery stent placement.

1:22

So very important sort of items to sort of

1:25

highlight in the clinical vignette as we proceed.

1:28

But for us, our purpose is really to

1:29

sort of kind of key us into the pre-

1:32

procedure realm as we move forward.