69- year- old female patient with PMH of hypertension and dyslipidemia presented with complaints of life style limiting claudication symptoms bilaterally (Rutherford Grade II category 4) on medication (cilostazol) and exercise program. Patient underwent ABI/PVR with result of 0.65 bilaterally and arterial Doppler showing total occlusion of the bilateral mid- SFA with significant calcification. She underwent a lower extremity angiogram OSH which showed bilateral mid- SFA heavily calcified CTO with three vessel runoff distally. Successful PTA of the right mid- SFA CTO was performed on 7/29/2013 with significant relief of symptoms in the right lower extremity on follow up.
Plan: Patient is now scheduled for PTA of left mid- SFA CTO.
Left SFA In-stent Restenosis Intervention – Nov 27
Case and Plan: 68 year-old female with HTN, DM, hyperlipidemia and currently smokes. Presents with BL (L>R), lifestyle limiting claudication (Rutherford 4) that has progressed to pain at rest despite OMT. Noninvasive workup showed an ABI with exercise of (R): 0.95 and 0.89 (L): 0.92 and 0.67 . Subsequent US showed in-stent restenosis of the […]
Left SFA CTO – Oct. 2019
68 year old female with HTN, DM, HLD who presents with life style limiting claudication, that has progressed to pain a rest. She had a non invasive workup done revealing abnormal ABI. She had a subsequent peripheral angiogram done revealing mid Left SFA total occlusion and referred for further intervention.
Popliteal Artery CTO Intervention for Severe Intermittent Claudication & Rest Pain – Sept 2019
The patient is a 79 Male with hypertension, non-insulin dependent diabetes, dyslipidemia and coronary artery disease (status post CABG), who presents with lower extremity claudication (Rutherford 4) that has progressed to pain at rest. He has failed exercised and medical therapy. Non-Invasive imaging done shows occluded popliteal artery. Now referred for angiography and possible intervention […]
Calcified SFA CTO Lesion w/ Prior Failed Intervention – August 2019
Tags: Atherectomy | Crossing device | CTO | SFA
59-year-old male with hypertension, insulin-dependent diabetes, smoking history, presenting with worsening lifestyle limiting claudication, now progressing to pain at rest. US done shows bilateral SFA CTO disease.