54 yo male with a history of diabetes, hypertension, hyperlipidemia, CAD and PVD. Presents with significant left lower extremity 1 block lifestyle-limiting calf claudication (Rutherford Grade I Category 3; Fontaine Stage IIB). Symptoms of claudication have been progressive over the last 1 year. There are no ulcers. Past medical history includes diabetes Mellitus, hypertension, hyperlipidemia, coronary Artery Disease S/P PCI LAD with DES (2/2016) and PCI with stent LCX (2003) EF 50-55%, PVD with left common iliac artery stent (2/2016) and known CTO left SFA with unsuccessful attempted PTA (8/2016)
