Peripheral cases
Angiographic, IVUS and Hemodynamic Assessment of Renal Arteries – Dec 2014
Views 780

CC: 68 year old male with hypertension on three medications and findings concerning for Renal FMD on a MRA of the Abdomen
Past medical history: Chronic Diarrhea, Obesity with Lap Band, Lap Cholecystectomy, GERD, Hypertension
Medications: Amlodipine-Benzaopril, HCTZ, Metronidazole, Octreotide, Colesevelam, MVI
Social History: Ex-Smoker, No history of alcohol or drug abuse

Pertinent Physical Examination:

Vitals: 120/84, Pulse-86/min, Pulse Ox-97% on RA, RR-20/min, Temp-99.5F
Unremarkable physical examination
Investigations:

MRA of Abdomen: Renal FMD changes
MRA of Intracranial Vessels: No Stenosis
Plan:

Angiographic, IVUS and Hemodynamic assessment of the Renal Arteries

1:02:55

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Suggestions
Transradial Intervention of Iliac Disease for Chronic Limb Ischemia – November 2020
Views 170

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 165

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 127

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 348

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.