66 year old woman presents with Right Lower extremity claudication with 1 block (Rutherford Class II – Category III). She is known to have CLI, hypertension, Insulin dependent Diabetes Mellitus, Coronary artery disease and Dyslipidemia. She currently takes Aspirin, Plavix, Lopressor, Insulin, Januvia, Crestor, antibiotics and Neurontin. She underwent resting Ankle Brachial Index (ABI) which was 0.6 on right lower extremity and 0.2 on left lower extremity. She is known to have non healing ulcer of the left foot with osteomyelitis of first metatarsal and lateral hallux and s/p Left SFA PTA/stenting in December 2015 and L AT and LPER PTA on January 15th 2016. Now planned for Percutaneous Transluminal Angioplasty of long chronic total occlusion of RSFA.
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 […]
Transradial Intervention of Iliac Disease for Chronic Limb Ischemia – November 2020
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.