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.
TCAR Approach for Asymptomatic Severe ICA Stenosis – March 2021
Case & Plan: 90-year-old male with a PMHx of CAD s/p multiple PCI (last being in 2013), HTN, HLD, prostate CA s/p brachytherapy who was referred after a comprehensive outpatient evaluation for severe R ICA stenosis on MR angiography. Plan for transcarotid artery revascularization (TCAR) of right ICA with enroute transcarotid neuroprotection and stent system.
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 […]