CC: 68 y.o. man with lifestyle limiting right lower extremity claudication despite exercise and Cilostazol therapy
Past medical history: PAD with multiple interventions, Carotid artery disease with left CEA, CAD, MI, PCI of RCA, HTN, DM and HPL
Medications: Aspirin, Plavix, Cilostazol, Lipitor, Metoprolol, Enalapril, Norvasc, Glipizide, Levothyroxine, Meformin
Medications: ASA, Plavix, Cilostazol, Coreg, Atorvastatin, Losartan, Flomax, Metformin, Glimepiride, Glipizide, ISMN and Finasteride
Social History: Ex-Smoker, No history of alcohol or drug abuse
Pertinent Physical Examination:
Vitals: 153/75, Pulse-78/min, Pulse Ox-98% on RA, RR-17/min, Temp-98.5F
Poor pedal pulses
Prior Peripheral Interventions:
Right distal CI-prox EI PTA and Stent
Left SFA Atherectomy
Left proximal TPT PTA
Right SFA CTO Intervention
Consideration of Drug Coated Balloon use
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).