74 year old woman presents with left leg life style limiting claudication (Rutherford Grade II – Category III, Fontaine stage IIB). Her past medical history includes Hypertension, Hyperlipidemia, CKD stage III (Cr 1.6) and ex-smoker. Her medications include Aspirin, Pletal, Plavix, Labetalol, Amlodipine and Lipitor. She has known PAD (underwent RSFA CTO intervention in 2015). She underwent ABI that was 0.9 in right lower extremity and 0.5 in left lower extremity. US Duplex showed CTO of LSFA (occluded at ostium) with occluded LPT and LPER and moderate stenosis of LAT. She underwent diagnostic peripheral angiogram which showed CTO of LSFA occlusion at ostium with 1 vessel runoff. (Staged for elevated creatinine) Here for Percutaneous Transluminal Angioplasty of LSFA (pedal access if needed).
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.