Critical Limb Ischemia: Left Anterior Tibial Artery Angioplasty – March 2018
72 year old man with history of type 2 DM, chronic kidney disease (baseline creatinine 1.9) and coronary artery disease status post PCI in 2014. He presented with complaints of left leg cluadication x 2 months and claudication distance decreased from ~1 block to less than 100 feet over last 3 weeks. Also reports pain at night which is relieved in dependent position. No history of ulcers. On examination there is dependent rubor and monophasic left DP and PT signal. Her home medications include Aspirin 81 mg/day, Clopidogrel 75 mg/day and atorvastatin 20 mg qhs. ABI done 3 weeks ago: Right- 0.73, Left: 0.52.
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.