Peripheral cases
Stenting of the Left Iliac Vein – Sept 2014

C: 43 y.o. woman with chronic left LE swelling and discomfort
Past medical history: Left LE recurrent DVT, Hypothyroidism, Hypopituitarism, Acromegalic gigantism, Hypocortisolism, Cervical Cancer, Pituitary surgery
Medications: Aspirin, Plavix, Cilostazol, Lipitor, Metoprolol, Enalapril, Norvasc, Glipizide, Levothyroxine, Meformin
Medications: Prednisone, Levothyroxine, Warfarin
Social History: Non-Smoker, No history of alcohol or drug abuse
Pertinent Physical Examination:

Vitals: 110/70, Pulse-77/min, Pulse Ox-98% on RA, RR-16/min, Temp-98F
Left lower extremity swelling with pitting edema
CT Angiography of the Pelvis and Lower Extremities:

Focal stenosis of the left common iliac vein between the right common iliac artery and lumbar spine, consistent with May-Thurner syndrome
Heterogeneously dense left external iliac vein , which may represent chronic thrombus versus mixing of contrast in a slow flowing vessel
Plan

Stenting of the left liac vein

33:51

comments

Leave a Reply

Your email address will not be published. Required fields are marked *

suggestion
Suggestions
Left SFA In-stent Restenosis Intervention – Nov 27
Tags:
Views 252

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
Views 251

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
Views 442

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: | | |
Views 622

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.