76 year old male presents with left 2nd toe non healing ulcer (dorsal aspect) (Rutherford Class III – Category V). His risk factors include CAD s/p PCI to mLAD, hypertension, DM, dyslipidemia and ex-smoker. He currently takes Aspirin, Simvastatin, Norvasc, Carvedilol, Gabapentin, Glipizide, Insulin and antibiotics. His work up showed ABI of 0.4 in left lower extremity and US Duplex showed monophasic waveforms with severe stenosis of Left SFA and infrapopliteal vessels. He underwent Peripheral angiogram that showed severe stenosis of Left EIA, Left SFA and occluded L AT and L PT. He then underwent Left external Iliac artery Bare Metal Stenting on 07/20/2015 and LSFA Directional Athrectomy and Drug Eluting stenting on 09/14/2015. Left 2nd toe ulcer is not completely healed. Now planned for Antegrade/Retrograde approach Percutaneous Transluminal Angioplasty of L AT.
Prior failed intervention of the Left SFA ISR, Re-attempt via Pedal Access – January 2020
Tags: ISR | Left SAF | Pedal Access
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: CTO | Peripheral | Popliteal Vein Access
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
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
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.