82 year-old male presented with right foot 4th toe non healing ulcer (dorsal aspect) (Rutherford Grade III – Category V, Fontaine Stage IV, Wifi 1,2,1). His medical history included recent NSTEMI, underwent PCI of LAD 1 week ago, hypertension, insulin dependent Diabetes Mellitus, atrial fibrillation and dyslipidemia. His current medications include Aspirin, Plavix, Lopressor, Insulin, Crestor and antibiotics. He underwent resting Ankle Brachial Index (ABI) which was 0.3 on right lower extremity and 0.7 on left lower extremity. During PCI of LAD, right lower extremity angiogram was performed that showed long segment occlusions of RAT and RPT. Now planned for Percutaneous Transluminal Angioplasty of chronic total occlusion of RPT and RAT.
LEFT SFA CTO REVASCULARIZATION – August 2020
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.
Transradial Approach for CFA Intervention Involving Fem-Fem Bypass Graft – July 2020
Case and Plan: 70 year-old male with a PMHx of HTN, HLD, asthma, NIDDM, CKD Stage III, HFpEF (55%), MGUS, CAD s/p 2vCABG and PAD s/p bilateral common iliac stent c/b left common iliac artery stent occlusion s/p R->L fem-fem bypass who is presenting with progressive claudication now present at rest (Rutherford 4). Lower extremity […]
Chronic total occlusion (CTO) of left popliteal artery – June 2020
Case and Plan: This is a 68 F with hypertension, diabetes, dyslipidemia and peripheral arterial disease who had prior interventions of the right lower extremity. She presented to the office with life style limiting claudication that has progressed to pain at rest despite optimal medical and exercise therapy. Non invasive studies showed severely reduced ABI […]
Management of CLI and ALI During the COVID-19 Pandemic – May 2020
Case and Plan: Live Discussion with Q&A on “Management of CLI and ALI During the COVID-19 Pandemic