67 year old female patient with complaints of life style limiting claudication symptoms in both legs, left more than right (Rutherford Grade II category 4) on medication (Cilostazol) and exercise program on presentation.
Past Medical History: Hypertension, Diabetes Mellitus Type II, Hyperlipidemia, PAD, CAD s/p PCI of LAD and RCA, Hepatitis B, Anemia of chronic disease
Medications: Atorvastatin 40mg PO daily, metoprolol XL 25 mg PO daily, HCTZ 12.5 mg PO daily, Aspirin 81mg PO daily, clopidogrel 75 mg PO daily, Lantus 15 units, Amlodipine 10mg PO daily, Cilostazol 100mg PO BID
Social History: Non Smoker, no alcohol or IVDA
Plan: Patient now planned for Recanalizaton of CTO, Atherectomy and PTA of long segment calcified left superficial femoral artery stenosis.
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.