Instent Occlusion of Right Superficial Femoral Artery – Aug 2017
83 year old female with history of hypertension, type 2 diabetes mellitus, dyslipidemia, ex-smoker (25 pack year) and known history of peripheral artery disease. She underwent angioplasty of the right superficial femoral artery in May, 2014 with Everflex 6.0 x 200 mm and 6.0 x 80 mm stent with good angiographic and clinical results.
In May 2017 she was presented again with worsening lower extremity claudication, right > left. Ankle brachial index was 0.62 in right leg and 0.88 in left leg. Angiogram done on July 31, 2017 showed instent occlusion of the right superficial femoral artery stent, extending from proximal edge to the distal segment. SFA reconstituted in the distal stented segment. Antegrade attempt at crossing the total occlusion did not succeed because of unfavorable cap anatomy and flush occlusion of SFA.
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).
Drug Coated Device Controversies post FDA Warning – March 2019
70 year old female with PMH of HTN, HLD, DM, Hypothyroidism, former smoker (quit 20 years ago), CAD s/p PCI of RCA,PAD s/p aorto-femoral bypass, and Carotid stenosis s/p left CEA (2015).
Critical Limb Ischemia, Right AT CTO Intervention – February 2019
86 year old female patient with HTN, HLD, NIDDM, Afib under NOAC, CAD s/p PCI and PAD, complex SFA CTO and BTK disease with reconstitution at the level of A. dorsalis pedis.