Critical Limb Ischemia – Multilevel Disease – May 2018
71 year old female with history of type 2 DM, hypertension, dyslipidemia and stage 3 CKD. No known peripheral vascular disease. Patient was doing well until about 4 months ago, when she noticed an ulcer on her right first toe, associated with pain. She also reports pain in her foot, which is relieved in dependent position. She was evaluated at an outside hospital and after ‘work up’ was told that she needs an ‘amputation’. She was referred by her PCP for a second opinion. Review of work up showed ABI of 0.43 on right and 0.78 on left side. Arterial duplex was reported as subtotal occlusion of the right SFA and occlusion of right AT and PT in mid-segment. On examination, she has a 3 x 2 cm ulcer on the first toe associated with minimal exudate.
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.