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.
Peripheral intervention live webcast. (31 July 2019)
71-year-old female Patient with hypertension, hyperlipidemia and active smoking. She presents with left lower extremity claudication (Buttock, thigh and calf) Rutherford class 3. US-Doppler revealed blunted waveform over the left iliac artery. CT-angiogram revealed total occlusion of the left common iliac artery with reconstitution in the external iliac artery.
Complex AT CTO Intervention – June 2019
74 year old female patient with HTN, HLD, DM2 (Insulin therapy), Hypothyroidism.
Management of SFA ISR CTO – May 2019
64 year old male with PMH of NIDDM, CKD, HTN, HLD, CAD s/p CABG on 11/1/2018 at LHH (3v), PAD, s/p multiple PTAs (last being 12/19/2018), former smoker (quit 2 months ago).
Ostial SFA CTO Intervention – April 2019
71 year old female with HTN, HLP, DM, complains of left LE claudication which progressed to resting pain (Rutherford 4).