Peripheral cases
Below the Knee CTO: Antegrade Wire Escalation Algorithm – February 2018

Views 1699

84 year old female with history of HTN, type 2 DM, coronary artery disease and CKD. She was evaluated in clinic for complaints of pain in right forefoot at night which was relieved with dependency. On examination she had dependent rubor and monophasic right DP and PT signal. Her home medications include Aspirin 81 mg/day, Clopidogrel 75 mg/day and atorvastatin 20 mg qhs. Arterial duplex done in clinic showed total occlusion of right PT and AT in the midsegment.

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Complex Multilevel Intervention of CFA, SFA and AT – October 2020
Views 154

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 119

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 334

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
Views 269

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 […]