Critical Limb Ischemia: Left Anterior Tibial Artery Angioplasty – March 2018
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.
Management of SFA CTO with BTK Disease in CLI & Demonstration of the GoBack™ Crossing Catheter – April 2021
Case & Plan: 65-year-old female with a PMHx of CAD (s/p CABG x 4v + MVR in 2017), Ischemic Cardiomyopathy (EF 35% on TTE in 2017), IDDM, HTN, HLD, PAD (s/p multiple EVIs), former smoker, admitted for left great toe ulcer/eschar with bilateral SFA CTOs and below the knee disease.
TCAR Approach for Asymptomatic Severe ICA Stenosis – March 2021
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
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
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 […]