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.
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