Directional Atherectomy with Silverhawk M Device – January 2018
81 year old male with known history of type 2 DM, hypertension, dyslipidemia and coronary artery disease. He presented for evaluation of worsening bilateral calf claudication (left > right), current claudication distance < 1 block. ABI's done 2 months ago (Right- 0.93, left - 0.78). Reports minimal symptom relief with exercise therapy and cilostazol therapy. Underwent lower extremity angiogram which showed a severe calcified stenosis of the left common femoral artery. Patient was offered surgery which he declined.
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.