Management of SFA ISR CTO – May 2019

64 year old male with PMH of NIDDM, CKD, HTN, HLD, CAD s/p CABG on 11/1/2018 at LHH (3v), PAD, s/p multiple PTAs (last being 12/19/2018), former smoker (quit 2 months ago). Presents with CLI with a new non-healing right fifth toe ulcer (Rutherford 5). Medication: Lipitor, Glipizide, Insulin, Lisinopril, Toprol XL, Aspirin and Clopidogrel. ABI: R 0.62 and Left 0.84.



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