59 year old male patient with complaints of life style limiting claudication symptoms in right leg at rest (Rutherford Grade II category 4) on medication (cilostazol) and exercise program on presentation. Past Medical History: Hypertension, Dyslipidemia, DM type II, HIV. Medications: Medications: Aspirin, cilostazol, Metoprolol, Amlodipine, Atorvastatin. Social History: Non Smoker, no alcohol or IVDA.

Patient now planned for Recanalizaton of CTO, calcified right distal superficial femoral artery.

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