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).
Complex Multilevel Intervention of CFA, SFA and AT – October 2020
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
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
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
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 […]