42 year old male presents with bilateral lower extremity swelling for few years. His significant medical history included chronic venous insufficiency s/p bilateral great saphenous veins (GSV) ablation at outside hospital 5 years ago and later 2 years ago found to have bilateral iliac veins DVT treated with anticoagulation therapy. Physical exam showed bilateral lower extremity swelling with skin changes (CEAP – class IV). Lower extremity venous Duplex US showed bilateral external Iliac veins chronic DVT and other deep venous system were compressible without respiratory phasic variation and significant deep venous reflux. He also noted to have absent bilateral GSV’s. He underwent MRV that showed similar findings without any abdominal/pelvic pathology. Now planned for IVUS guided bilateral iliac veins stenting.
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.