Peripheral cases
Bilateral Common Iliac Artery Disease – November 2017

Views 1736

59 year old man with medical history significant for Hypertension, smoking and atrial flutter. He presented at outside medical facility for evaluation of bilateral severe leg claudication (right > left). ABI’s were 0.68 and 0.71 on the right and left leg respectively. An angiogram done showed total occlusion of right common iliac artery and 80% stenosis of the left common iliac.

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Suggestions
Endovascular Management of Aorto-Iliac Disease
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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 […]


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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.


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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 […]