80 year old female patient with past medical history of hypertension, dyslipidemia, diabetes mellitus type II, 40 pack year smoking history presents with complaints of bilateral claudication in calf with right left leg (Rutherford class I category 3). Patient had ABI/PVR which showed 0.7 on the right and 0.82 on the left with waveforms suggestive of femeropopliteal disease. Peripheral angiogram performed showed chronic total occlusion (CTO) of the ostial right superficial femoral artery (SFA), CTO of the right anterior tibial and posterior tibial artery. Boderline stenosis of the left common iliac artery, significant stenosis of the left superficial femoral artery, left peroneal artery and CTO of the left anterior tibial noted. Patient currently planned for an endovascular intervention of the CTO of ostial right SFA via retrograde approach. We will discuss about the endovascular indications, approach towards complex SFA CTO via retrograde approach.
Peripheral intervention live webcast. (31 July 2019)
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.
Complex AT CTO Intervention – June 2019
74 year old female patient with HTN, HLD, DM2 (Insulin therapy), Hypothyroidism.
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).