Case and Plan:
79-year-old male with HTN, HLD, former smoker sent for PAD evaluation prior to podiatric surgery.
To interview admits to severe bilateral claudication with < 0.5 block walking (Rutherford 3)
On maximally tolerated medical therapy
Exam: 1+ PT pulses bilaterally, Doppler DP pulses bilaterally
Ultrasound: “severe diffuse PAD bilaterally”
Recent R Iliac IVL and stenting with improvement of symptoms on R