Peripheral cases
Antegrade/Retrograde Approach Percutaneous Transluminal Angioplasty of L AT – Aug 2015
Views 791

88 year old female presents with non-healing Left big toe ulcer (dorsal aspect) with claudication at rest (Rutherford Class III – Category V). Her risk factors include hypertension, dyslipidemia, paroxysmal atrial flutter, ex-smoker and CKD (Cr 1.8). She currently takes Aspirin, Pletal, Metoprolol, Rosuvastatin and Furosemide. US Duplex showed severe stenosis of Left Superficial Femoral Artery (LSFA) and infrapopliteal vessel occlusions. She underwent LSFA Directional Athrectomy and Drug coated Balloon (DCB) Angioplasty on 08/10/2015. Now planned for Antegrade/Retrograde approach Percutaneous Transluminal Angioplasty of L AT.

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Suggestions
Transradial Intervention of Iliac Disease for Chronic Limb Ischemia – November 2020
Views 161

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
Views 159

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
Views 123

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 […]


LEFT SFA CTO REVASCULARIZATION – August 2020
Views 342

Case and Plan: 55 year-old-male with mutliple comorbidities, who presents with ongoing, bilateral lifestyle-limiting claudication now progressed to rest pain (L>R) who is status post R SFA CTO intervention and now planned for L SFA CTO intervention via femoral approach.