78- year- old male patient with past medical history of hypertension, dyslipidemia, CAD s/p CABG, CKD stage II, type II DM, CVA, and mild intermittent asthma presented with complaints of left leg pain with non- healing ulcer along the dorsal surface of the foot (Rutherford class III category 5, Fontaine IV). Peripheral angiogram performed showed significant stenosis of mid left superficial femoral artery, CTO of the mid left anterior tibial artery, CTO of the left tibioperoneal trunk, distal reconstitution of the left peroneal artery and left posterior tibial artery via the proximal anterior tibial collaterals, including distal reconstitution of the dorsalis pedis via the peroneal artery collaterals.
Plan: Patient is currently scheduled for endovascular treatment of the CTO of the left tibioperoneal trunk.
Endovascular Management of Aorto-Iliac Disease
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.
Complex Multilevel Intervention of CFA, SFA and AT – October 2020
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
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 […]