College

The correct sequence of steps for an arteriotomy for embolectomy or thrombectomy is:

A. 15 blade, Metzenbaum scissors, Yankauer suction, insertion of Fogarty catheter.
B. 10 blade, Metzenbaum scissors, insertion of Fogarty catheter.
C. 11 blade, Potts-Smith scissors, small bore suction, insertion of Fogarty catheter.
D. 12 blade, 14 g angiocath insertion, removal of stylet, insertion of Fogarty catheter.

Answer :

Final answer:

The correct answer is option c. The correct sequence of steps for an arteriotomy aimed at performing an embolectomy or thrombectomy involves the use of an 11 blade for incision, followed by dissection with Potts-Smith scissors, clearing the surgical field with small bore suction, and finally, the insertion of a Fogarty catheter.

Explanation:

The correct sequence of steps for an arteriotomy for embolectomy or thrombectomy is c. 11 blade, Potts-Smith scissors, small bore suction, insertion of Fogarty catheter. This sequence starts with an incision using an 11 blade, which is precisely sized for vascular access, followed by the use of Potts-Smith scissors for detailed and controlled dissection. The use of small bore suction assists in maintaining a clear surgical field by removing any fluid or blood. The final step is the insertion of a Fogarty catheter, which is designed for the removal of thrombi or emboli within the vessel.

It is essential to understand that the instruments and methods selected for such procedures are geared towards minimizing tissue damage, ensuring precise control during dissection, and efficaciously clearing the occlusion. The Fogarty catheter, in particular, plays a pivotal role by enabling the removal of blockages within the vessel, facilitating the restoration of blood flow.