69- year- old female patient with PMH of hypertension and dyslipidemia presented with complaints of life style limiting claudication symptoms bilaterally (Rutherford Grade II category 4) on medication (cilostazol) and exercise program. Patient underwent ABI/PVR with result of 0.65 bilaterally and arterial Doppler showing total occlusion of the bilateral mid- SFA with significant calcification. She underwent a lower extremity angiogram OSH which showed bilateral mid- SFA heavily calcified CTO with three vessel runoff distally. Successful PTA of the right mid- SFA CTO was performed on 7/29/2013 with significant relief of symptoms in the right lower extremity on follow up.
Plan: Patient is now scheduled for PTA of left mid- SFA CTO.
Complex Intervention in Patient with Calcific Multilevel Peripheral Arterial Disease – September -2023