54 year old woman presents with slowly healing R foot 1st and 5th toe ulcer (plantar aspect)(Rutherford Grade III – Category V, Fontaine stage IV, Wifi 1, 2, 1). Her past medical history includes Hypertension, NIDDM and Hyperlipidemia. Her medications include Aspirin, Metoprolol, Zocor, metformin and antibiotics. She underwent ABI that was 0.3 in right lower extremity and 0.8 in left lower extremity. US Duplex showed severe stenosis of RSFA with occluded RAT and RPER and severe stenosis of RPT. She underwent peripheral angiogram and had RSFA Directional athrectomy, Zilver stenting of mid segment 2 weeks ago. Here for Percutaneous Transluminal Angioplasty of RAT (RPT if needed to complete plantar arch).
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 […]
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 […]