72 year old gentleman presents with non-healing L foot dorsal aspect ulcer with claudication at rest (Rutherford Class III – Category V). His past medical history includes Hypertension, Dyslipidemia, Coronary Artery Disease s/p PCI to LAD in 2009, Chronic Kidney disease (Cr 1.9) and Insulin dependent Diabetic Mellitus. His medications include Aspirin, Plavix, Metoprolol, Norvasc, Benicar, Glucophage, Zocor and Insulin. He underwent ABI that was 0.4 in left lower extremity and 0.9 in right lower extremity. US Duplex showed severe stenosis of L Tibio –peroneal trunk (TPT) and multilevel infra-popliteal occlusions. He underwent PTA of L TPT ON 11/25/2015. Now planned for Antegrade/Retrograde approach Percutaneous Transluminal Angioplasty of L AT and L PT (for complete revascularization of pedal arch).
Prior failed intervention of the Left SFA ISR, Re-attempt via Pedal Access – January 2020
Tags: ISR | Left SAF | Pedal Access
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
Tags: CTO | Peripheral | Popliteal Vein Access
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
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.