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.
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.