Peripheral cases
Angiographic, IVUS and Hemodynamic Assessment of Renal Arteries – Dec 2014
Views 517

CC: 68 year old male with hypertension on three medications and findings concerning for Renal FMD on a MRA of the Abdomen
Past medical history: Chronic Diarrhea, Obesity with Lap Band, Lap Cholecystectomy, GERD, Hypertension
Medications: Amlodipine-Benzaopril, HCTZ, Metronidazole, Octreotide, Colesevelam, MVI
Social History: Ex-Smoker, No history of alcohol or drug abuse

Pertinent Physical Examination:

Vitals: 120/84, Pulse-86/min, Pulse Ox-97% on RA, RR-20/min, Temp-99.5F
Unremarkable physical examination

MRA of Abdomen: Renal FMD changes
MRA of Intracranial Vessels: No Stenosis

Angiographic, IVUS and Hemodynamic assessment of the Renal Arteries



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Prior failed intervention of the Left SFA ISR, Re-attempt via Pedal Access – January 2020
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Views 188

Case and Plan: 67 Male with HTN, DM, HLD and PAD (prior stent of the left SFA), who presented with life style limiting claudication (L>R). Non-invasive workup revealed in-stent re-stenosis of the prior SFA stent. A subsequent attempt to intervention was unsuccessful from the CFA, now referred for a re-attempt to intervention via pedal approach.

Popliteal Artery CTO Intervention w/ failed prior attempt
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Views 198

Case and Plan: 68 M with Hypertension, hyperlipidemia, smoking and known history of PAD, presents with worsening R > L claudication, that has progressed to pain at rest. He had a subsequent angiogram done that showed complete occlusion of the popliteal artery that reconstitutes at the level of TP trunk. He had a prior attempt […]

Left SFA In-stent Restenosis Intervention – Nov 27
Views 574

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
Views 344

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.