Peripheral cases
Management of SFA ISR CTO – May 2019

Views 426

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). Presents with CLI with a new non-healing right fifth toe ulcer (Rutherford 5). Medication: Lipitor, Glipizide, Insulin, Lisinopril, Toprol XL, Aspirin and Clopidogrel. ABI: R 0.62 and Left 0.84.

1:14:23

comments

Leave a Reply

Your email address will not be published. Required fields are marked *

suggestion
Suggestions
Prior failed intervention of the Left SFA ISR, Re-attempt via Pedal Access – January 2020
Tags: | |
Views 390

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: | |
Views 267

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
Tags:
Views 652

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
Views 426

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.