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

Views 1398

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
Transradial Intervention of Iliac Disease for Chronic Limb Ischemia – November 2020
Views 161

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 159

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 123

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 342

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.