50- year- old female patient with past medical history of mild intermittent asthma and hyper-tension presented with complaints of right leg swelling progressively worsening for a week . Lower extremity venous Doppler showed no evidence of deep vein thrombosis (DVT) in the femoral-popliteal systems bilaterally; however loss of respiratory variation in the wave-forms was seen in the right leg, raising the suspicion of possible DVT in the right external iliac or common iliac vein. Patient underwent CT venogram of the abdomen and pelvis with lower extremity run off. Results showed evidence of DVT in the right external iliac vein. Workup for various hypercoagulable states has been negative and she was started on anticoagulation for DVT with placement of retrievable IVC filter.
Plan: Patient is currently scheduled for endovascular treatment of DVT.
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).