Peripheral cases
Antegrade/Retrograde Approach Percutaneous Transluminal Angioplasty of RSFA and R AT – Nov 2015
Views 1225

71 year old woman presented with R LE 2nd toe ulcer (at web) with claudication at rest (Rutherford Class III – Category V). Her past medical history includes Hypertension, Dyslipidemia and Insulin dependent Diabetic Mellitus. She underwent Directional Atherectomy and PTA of LSFA in July 2015. Her medications include Aspirin, Pletal, Metoprolol, Lotrel and Insulin. She underwent ABI that was 0.3 in right lower extremity and 0.8 in left lower extremity. US Duplex showed severe stenosis of right Superficial Femoral Artery (RSFA) and RAT and RPER infrapopliteal vessel occlusions. Now planned for Antegrade/Retrograde approach Percutaneous Transluminal Angioplasty of RSFA and R AT (based on US Duplex).

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Complex Multilevel Intervention of CFA, SFA and AT – October 2020
Views 148

Case and Plan: 80 year old female with history of diabetes, hypertension, hyperlipidemia, former smoker, PAD with prior right SFA and more recently left SFA stent placement in May 2020 (Eluvia 6.0x120mm) presenting with left sided claudication that has progressed to pain at rest.


Management of Aortoiliac Disease (CERAB Technique) – September 2020
Views 117

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 […]


LEFT SFA CTO REVASCULARIZATION – August 2020
Views 329

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.


Transradial Approach for CFA Intervention Involving Fem-Fem Bypass Graft – July 2020
Views 268

Case and Plan: 70 year-old male with a PMHx of HTN, HLD, asthma, NIDDM, CKD Stage III, HFpEF (55%), MGUS, CAD s/p 2vCABG and PAD s/p bilateral common iliac stent c/b left common iliac artery stent occlusion s/p R->L fem-fem bypass who is presenting with progressive claudication now present at rest (Rutherford 4). Lower extremity […]