Patient Age/sex: 65/M Indication: lifestyle-limiting claudication

Rutherford Class II Grade 4

Risk factors: HTN, HLD, DM, CADs/p Multiple PCIs

Noninvasive testing

ABI: R 0.9/L 0.6

Duplex: • No detectable flow in the left commoniliac artery, consistent with occlusion. • Distal reconstitution of the external iliac artery via collateral flow. • Dampened monophasic waveforms throughout the left EIA/CFAand downstream vessels, consistent with significant aortoiliac inflow disease.

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