Peripheral cases
Percutaneous Transluminal Angioplasty of LSFA – June 2016

74 year old woman presents with left leg life style limiting claudication (Rutherford Grade II – Category III, Fontaine stage IIB). Her past medical history includes Hypertension, Hyperlipidemia, CKD stage III (Cr 1.6) and ex-smoker. Her medications include Aspirin, Pletal, Plavix, Labetalol, Amlodipine and Lipitor. She has known PAD (underwent RSFA CTO intervention in 2015). She underwent ABI that was 0.9 in right lower extremity and 0.5 in left lower extremity. US Duplex showed CTO of LSFA (occluded at ostium) with occluded LPT and LPER and moderate stenosis of LAT. She underwent diagnostic peripheral angiogram which showed CTO of LSFA occlusion at ostium with 1 vessel runoff. (Staged for elevated creatinine) Here for Percutaneous Transluminal Angioplasty of LSFA (pedal access if needed).



Leave a Reply

Your email address will not be published. Required fields are marked *

Complex Multilevel Intervention of CFA, SFA and AT – October 2020
Views 148

Case and Plan: 80 year old female with history of diabetes, hypertension, hyperlipidemia, former smoker, PAD with prior right SFA and more recently left SFA stent placement in May 2020 (Eluvia 6.0x120mm) presenting with left sided claudication that has progressed to pain at rest.

Management of Aortoiliac Disease (CERAB Technique) – September 2020
Views 117

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 […]

Views 329

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
Views 268

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 […]