Critical Limb Ischemia: Left Anterior Tibial Artery Angioplasty – March 2018
1569 72 year old man with history of type 2 DM, chronic kidney disease (baseline creatinine 1.9) and coronary artery disease status post PCI in 2014. He presented with complaints of left leg cluadication x 2 months and claudication distance decreased from ~1 block to less than 100 feet over last 3 weeks. Also reports pain at night which is relieved in dependent position. No history of ulcers. On examination there is dependent rubor and monophasic left DP and PT signal. Her home medications include Aspirin 81 mg/day, Clopidogrel 75 mg/day and atorvastatin 20 mg qhs. ABI done 3 weeks ago: Right- 0.73, Left: 0.52.
Suggestions
Endovascular Management of Aorto-Iliac Disease
335 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
213 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.
Complex Multilevel Intervention of CFA, SFA and AT – October 2020
207 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
164 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 […]