Peripheral cases
Percutaneous Transluminal Angioplasty of LAT/LPT – March 2016
Views 883

80 year-old woman presented with left foot non healing ulcer (lateral aspect) (Rutherford Grade III – Category V, Fontaine Stage IV, Wifi 1,2,1). Her medical history includes non-obstructive CAD, PAD s/p DCB PTA of LSFA and PTA of L AT in 2014, 2nd left toe amputation, hypertension, Insulin dependent Diabetes Mellitus, ESRD on HD, permanent atrial fibrillation, Pacemaker implantation, and Dyslipidemia. Her current medications include Aspirin, Plavix, Lopressor, Insulin, Crestor, sensipar and antibiotics. She underwent resting Ankle Brachial Index (ABI) which was 0.6 on right lower extremity and 0.3 on left lower extremity. US Duplex showed long segment occlusions of infra popliteal vessels. Now planned for Percutaneous Transluminal Angioplasty of LAT/LPT (based on US Duplex).

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Management of SFA In-Stent Restenosis – February 2021
Views 41

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 519

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 416

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 […]


Transradial Intervention of Iliac Disease for Chronic Limb Ischemia – November 2020
Views 321

Case and Plan: Patient is a 54-year-old female smoker with known PAD, s/p R fem-pop bypass, s/p unsuccessful PTA of left SFO CTO on 10/2019 who is presenting with non-healing left foot ulcer for 2 months and associated ischemic rest pain (Rutherford grade III, category 5). Planned transradial intervention for L external iliac severe stenosis.