Peripheral cases
Management of Aortoiliac Disease (CERAB Technique) – September 2020

Views 265

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 aorta and iliac arteries. She underwent diagnostic angiogram which revealed severe disease in the distal aorta and ostial left CIA lesions, now referred for intervention.

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Suggestions
TCAR Approach for Asymptomatic Severe ICA Stenosis – March 2021
Views 120

Case & Plan: 90-year-old male with a PMHx of CAD s/p multiple PCI (last being in 2013), HTN, HLD, prostate CA s/p brachytherapy who was referred after a comprehensive outpatient evaluation for severe R ICA stenosis on MR angiography. Plan for transcarotid artery revascularization (TCAR) of right ICA with enroute transcarotid neuroprotection and stent system.


Management of SFA In-Stent Restenosis – February 2021
Views 202

Case and Plan: 62-year-old female with history of PAD s/p prior peripheral interventions presenting with severe right calf pain with minimal ambulation (


Transpedal Approach for SFA CTO Intervention – January 2021
Views 653

Case and Plan: 77 year-old-female with a PMHx of HTN, HLD, CAD s/p PCI (last being in 2010), AAA s/p endovascular repair 11/2019, hypothyroidism, who presented originally in 7/2020 with worsening debilitating claudication bilaterally, L to R, despite maximal medical therapy, limited to 1 block (Rutherford Grade II, Category 3). After successful revascularization of L […]


Endovascular Management of Aorto-Iliac Disease – December 2020
Views 513

Case and Plan: 42-year-old male with history of hypertension, type 2 diabetes and hyperlipidemia presenting with lifestyle-limiting lower extremity claudication with minimal exertion, after walking 2 blocks and resolves with rest (Rutherford grade I, category 3). Non-invasive studies suggestive aorto-iliac bifurcation disease with monophasic waveforms below the segment. Patient underwent CT Angio with bilateral iliac […]