72 year old gentleman presents with non-healing L foot dorsal aspect ulcer with claudication at rest (Rutherford Class III – Category V). His past medical history includes Hypertension, Dyslipidemia, Coronary Artery Disease s/p PCI to LAD in 2009, Chronic Kidney disease (Cr 1.9) and Insulin dependent Diabetic Mellitus. His medications include Aspirin, Plavix, Metoprolol, Norvasc, Benicar, Glucophage, Zocor and Insulin. He underwent ABI that was 0.4 in left lower extremity and 0.9 in right lower extremity. US Duplex showed severe stenosis of L Tibio –peroneal trunk (TPT) and multilevel infra-popliteal occlusions. He underwent PTA of L TPT ON 11/25/2015. Now planned for Antegrade/Retrograde approach Percutaneous Transluminal Angioplasty of L AT and L PT (for complete revascularization of pedal arch).
TCAR Approach for Asymptomatic Severe ICA Stenosis – March 2021
Case & Plan: 90-year-old male with a PMHx of CAD s/p multiple PCI (last being in 2013), HTN, HLD, prostate CA s/p brachytherapy who was referred after a comprehensive outpatient evaluation for severe R ICA stenosis on MR angiography. Plan for transcarotid artery revascularization (TCAR) of right ICA with enroute transcarotid neuroprotection and stent system.
Management of SFA In-Stent Restenosis – February 2021
Case and Plan: 62-year-old female with history of PAD s/p prior peripheral interventions presenting with severe right calf pain with minimal ambulation (
Transpedal Approach for SFA CTO Intervention – January 2021
Case and Plan: 77 year-old-female with a PMHx of HTN, HLD, CAD s/p PCI (last being in 2010), AAA s/p endovascular repair 11/2019, hypothyroidism, who presented originally in 7/2020 with worsening debilitating claudication bilaterally, L to R, despite maximal medical therapy, limited to 1 block (Rutherford Grade II, Category 3). After successful revascularization of L […]
Endovascular Management of Aorto-Iliac Disease – December 2020
Case and Plan: 42-year-old male with history of hypertension, type 2 diabetes and hyperlipidemia presenting with lifestyle-limiting lower extremity claudication with minimal exertion, after walking 2 blocks and resolves with rest (Rutherford grade I, category 3). Non-invasive studies suggestive aorto-iliac bifurcation disease with monophasic waveforms below the segment. Patient underwent CT Angio with bilateral iliac […]