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.
Management of SFA CTO with BTK Disease in CLI & Demonstration of the GoBack™ Crossing Catheter – April 2021
Case & Plan: 65-year-old female with a PMHx of CAD (s/p CABG x 4v + MVR in 2017), Ischemic Cardiomyopathy (EF 35% on TTE in 2017), IDDM, HTN, HLD, PAD (s/p multiple EVIs), former smoker, admitted for left great toe ulcer/eschar with bilateral SFA CTOs and below the knee disease.
TCAR Approach for Asymptomatic Severe ICA Stenosis – March 2021
Case & Plan: 90-year-old male with a PMHx of CAD s/p multiple PCI (last being in 2013), HTN, HLD, prostate CA s/p brachytherapy who was referred after a comprehensive outpatient evaluation for severe R ICA stenosis on MR angiography. Plan for transcarotid artery revascularization (TCAR) of right ICA with enroute transcarotid neuroprotection and stent system.
Management of SFA In-Stent Restenosis – February 2021
Case and Plan: 62-year-old female with history of PAD s/p prior peripheral interventions presenting with severe right calf pain with minimal ambulation (
Transpedal Approach for SFA CTO Intervention – January 2021
Case and Plan: 77 year-old-female with a PMHx of HTN, HLD, CAD s/p PCI (last being in 2010), AAA s/p endovascular repair 11/2019, hypothyroidism, who presented originally in 7/2020 with worsening debilitating claudication bilaterally, L to R, despite maximal medical therapy, limited to 1 block (Rutherford Grade II, Category 3). After successful revascularization of L […]