Case and Plan:
HPI: 67-year-old female referred to us for lifestyle-limiting claudication progressive to ischemic rest pain (L>R) with <1 block of activity (Rutherford Grade 2, Category 4) despite supervised exercise therapy and GDMT.
PMHx: CAD s/p blank, DVT, HTN, HLD, PAD s/p BMS, DCB in R popliteal artery, DES in R anterior tibial artery (R pop CTO, R AT CTO)
Social Hx: Ex smoker
Medications: Aspirin, Plavix, Rosuvastatin, Pantoprazole (could not tolerate cilostazol)
