80 year old female patient with past medical history of hypertension, dyslipidemia, diabetes mellitus type II, 40 pack year smoking history presents with complaints of bilateral claudication in calf with right left leg (Rutherford class I category 3). Patient had ABI/PVR which showed 0.7 on the right and 0.82 on the left with waveforms suggestive of femeropopliteal disease. Peripheral angiogram performed showed chronic total occlusion (CTO) of the ostial right superficial femoral artery (SFA), CTO of the right anterior tibial and posterior tibial artery. Boderline stenosis of the left common iliac artery, significant stenosis of the left superficial femoral artery, left peroneal artery and CTO of the left anterior tibial noted. Patient currently planned for an endovascular intervention of the CTO of ostial right SFA via retrograde approach. We will discuss about the endovascular indications, approach towards complex SFA CTO via retrograde approach.
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 […]
Endovascular Management of Aorto-Iliac Disease – December 2020
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
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.