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.
