Shockwave Lithoplasty in Calcified Superficial Femoral Artery Stenosis – October 2017
67 year old female presented with severe bilateral lower extremity claudication (less than 1 block, Rutherford Category 3). On evaluation noted to have ABI of 0.68 in the left leg. Angiogram done at outside hospital revealed tight calcified stenosis of the distal left SFA (TASC II type D lesion). Her pre procedure hemoglobin, platelets, INR and renal parameters were within normal limits.
Right CFA access, with placement of 45 cm crossover sheath. Lesion crossing with 0.014 wire. This would be followed by Shockwave lithoplasty and dru coated balloon angioplasty. Bailout stenting for flow limiting dissection would be considered.
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.