80 year old gentleman presents with slowly healing R foot 2nd toe ulcer (Rutherford Grade III – Category V, Fontaine stage IV, Wifi 1, 2, 1). His past medical history includes uncontrolled hypertension, Paroxysmal atrial fibrillation, Coronary Artery Disease s/p PCI to LAD in 2012, PAD s/p RSFA stenting at outside hospital 2 years ago. His medications include Aspirin, Eliquis, Metoprolol, Zocor and Lisinopril. He underwent ABI that was 0.35 in right lower extremity and 0.8 in left lower extremity. US Duplex showed severe in-stent stenosis of RSFA with distal occlusions and occluded AT. He underwent diagnostic peripheral angiogram at outside hospital that showed occluded RSFA stents with stent fracture with one vessel runoff. Here for Angioplasty of RSFA ISR.
Endovascular Management of Aorto-Iliac Disease
Case and Plan: 42-year-old male with history of hypertension, type 2 diabetes and hyperlipidemia presenting with lifestyle-limiting lower extremity claudication with minimal exertion, after walking 2 blocks and resolves with rest (Rutherford grade I, category 3). Non-invasive studies suggestive aorto-iliac bifurcation disease with monophasic waveforms below the segment. Patient underwent CT Angio with bilateral iliac […]
Transradial Intervention of Iliac Disease for Chronic Limb Ischemia – November 2020
Case and Plan: Patient is a 54-year-old female smoker with known PAD, s/p R fem-pop bypass, s/p unsuccessful PTA of left SFO CTO on 10/2019 who is presenting with non-healing left foot ulcer for 2 months and associated ischemic rest pain (Rutherford grade III, category 5). Planned transradial intervention for L external iliac severe stenosis.
Complex Multilevel Intervention of CFA, SFA and AT – October 2020
Case and Plan: 80 year old female with history of diabetes, hypertension, hyperlipidemia, former smoker, PAD with prior right SFA and more recently left SFA stent placement in May 2020 (Eluvia 6.0x120mm) presenting with left sided claudication that has progressed to pain at rest.
Management of Aortoiliac Disease (CERAB Technique) – September 2020
Case and Plan: 72 year-old female with hypertension, hyperlipidemia, COPD, hypothyroidism, former smoker with several months of bilateral, severe lifestyle limiting claudication with less than 1/2-1 block of exertion that has progressed to pain at rest. Pain involves her bilateral thighs, legs and feet. Noninvasive studies severely reduced ABIs bilaterally with monophasic waveforms in the […]