Peripheral cases
Recanalization of CTO, Atherectomy and PTA of Calcified Left Superficial femoral Artery Stenosis – Nov 2013

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Views 904

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.



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Views 169

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Views 164

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Views 126

Case and Plan: 72 year-old female with hypertension, hyperlipidemia, COPD, hypothyroidism, former smoker with several months of bilateral, severe lifestyle limiting claudication with less than 1/2-1 block of exertion that has progressed to pain at rest. Pain involves her bilateral thighs, legs and feet. Noninvasive studies severely reduced ABIs bilaterally with monophasic waveforms in the […]

Views 347

Case and Plan: 55 year-old-male with mutliple comorbidities, who presents with ongoing, bilateral lifestyle-limiting claudication now progressed to rest pain (L>R) who is status post R SFA CTO intervention and now planned for L SFA CTO intervention via femoral approach.