69 year old male ex-smoker with CAD, MI, PCI of RCA, CVA, Left CEA (2011), HTN, HPL, BPH, DM, MI, , CVA, PAD with multiple PTAs and recent left subclavian artery stenting has been having TIAs with visual symptoms and right sided weakness. Ultrasound showed evidence of left distal CCA stenosis with increased velocities. Plan to define the carotid anatomy and consider intervention.
