Peripheral cases
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 with 1 vessel run-off below the knee. Angiogram showed left SFA/ISR with unsuccessful intervention and now referred for further intervention.

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Left SFA CTO – Oct. 2019
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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.


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Calcified SFA CTO Lesion w/ Prior Failed Intervention – August 2019
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59-year-old male with hypertension, insulin-dependent diabetes, smoking history, presenting with worsening lifestyle limiting claudication, now progressing to pain at rest. US done shows bilateral SFA CTO disease.


Left SFA ISR Lesion with Prior Failed Intervention – July 2019
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Views 393

71-year-old female Patient with hypertension, hyperlipidemia and active smoking. She presents with left lower extremity claudication (Buttock, thigh and calf) Rutherford class 3. US-Doppler revealed blunted waveform over the left iliac artery. CT-angiogram revealed total occlusion of the left common iliac artery with reconstitution in the external iliac artery.