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.
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.
Popliteal Artery CTO Intervention for Severe Intermittent Claudication & Rest Pain – Sept 2019
The patient is a 79 Male with hypertension, non-insulin dependent diabetes, dyslipidemia and coronary artery disease (status post CABG), who presents with lower extremity claudication (Rutherford 4) that has progressed to pain at rest. He has failed exercised and medical therapy. Non-Invasive imaging done shows occluded popliteal artery. Now referred for angiography and possible intervention […]
Calcified SFA CTO Lesion w/ Prior Failed Intervention – August 2019
Tags: Atherectomy | Crossing device | CTO | SFA
59-year-old male with hypertension, insulin-dependent diabetes, smoking history, presenting with worsening lifestyle limiting claudication, now progressing to pain at rest. US done shows bilateral SFA CTO disease.