Peripheral cases
Angioplasty and Stenting of Right Aorto-Carotid Graft – Aug 2014

60 year old female patient with complaints of recurrent left sided TIAs (left sided weakness) in the last 6 months
Past medical history: Cerebrovascular disease with occluded right common carotid artery, severe restenosis of the aorto-carotid bypass graft, severe ostial left subclavian artery stenosis with stenting (July 2014), CAD (EF-50%), CABG in 2002, PCI of LM/LCX, Hypertension, Hypercholesterolemia, Type 2 DM
Medications: Aspirin, Lopressor, Crestor, Imdur, Glipizide, HCTZ, Plavix, Lisinopril, Glucophage
Social History: Ex-Smoker, 3 drinks a day, No drug abuse history
Plan: Plan for angioplasty and stenting of the right aorto-carotid graft as she is symptomatic with recurrent TIAs (left sided weakness) over the last 6 months



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