Directional Atherectomy with Silverhawk M Device – January 2018
1571 81 year old male with known history of type 2 DM, hypertension, dyslipidemia and coronary artery disease. He presented for evaluation of worsening bilateral calf claudication (left > right), current claudication distance < 1 block. ABI's done 2 months ago (Right- 0.93, left - 0.78). Reports minimal symptom relief with exercise therapy and cilostazol therapy. Underwent lower extremity angiogram which showed a severe calcified stenosis of the left common femoral artery. Patient was offered surgery which he declined.
Suggestions
Management of Aortoiliac Disease (CERAB Technique) – September 2020
9 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
204 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
175 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
676 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 […]
Great videos for learning. Please keep them coming. Thank you