Critical Limb Ischemia – Multilevel Disease – May 2018
71 year old female with history of type 2 DM, hypertension, dyslipidemia and stage 3 CKD. No known peripheral vascular disease. Patient was doing well until about 4 months ago, when she noticed an ulcer on her right first toe, associated with pain. She also reports pain in her foot, which is relieved in dependent position. She was evaluated at an outside hospital and after ‘work up’ was told that she needs an ‘amputation’. She was referred by her PCP for a second opinion. Review of work up showed ABI of 0.43 on right and 0.78 on left side. Arterial duplex was reported as subtotal occlusion of the right SFA and occlusion of right AT and PT in mid-segment. On examination, she has a 3 x 2 cm ulcer on the first toe associated with minimal exudate.
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.