Peripheral cases
Critical Limb Ischemia, Left Foot Ulcer – December 2017

Views 1440

78 year old female with past medical history significant for type 2 DM, hypertension and past smoking (quit 2 years ago). She noticed an area of non healing ulcer on the left first toe following an intervention for an ingrown nail by her podiatrist. She reports pain over the left first toe extending proximally along the medial side of foot. Foot x-ray and MRI ruled out osteomyelitis. Vascular studies were done. ABI on the left leg was 0.37 and right leg 0.58. Peripheral angiogram done at an outside hospital showed a total occlusion of the left anterior tibial artery. Left PT and peroneal have moderate disease.

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Suggestions
Management of SFA In-Stent Restenosis – February 2021
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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 (


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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
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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 […]


Transradial Intervention of Iliac Disease for Chronic Limb Ischemia – November 2020
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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.