63-year-old male patient with past medical history of hypertension, dyslipidemia, ex-smoker presents with complaints of left calf pain at rest (Rutherford class II category 4). Patient ABI showed 0.80 in right and 0.65 in left lower extremity. Peripheral angiogram showed borderline obstructive disease of the right common femoral artery, popliteal artery with significant stenosis of the proximal right anterior tibial and distal posterior tibial artery. Significant stenosis in the left external iliac artery, chronic total occlusion of the mid-left superficial femoral artery (SFA) with significant calcification and obstructive disease of the left anterior tibial artery. Patient is currently planned for an endovascular intervention of the long segment left superficial femoral artery CTO. We will discuss the endovascular indications and approach towards the calcified long segment SFA CTO.
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.