Shockwave Lithoplasty in Calcified Superficial Femoral Artery Stenosis – October 2017
1927 67 year old female presented with severe bilateral lower extremity claudication (less than 1 block, Rutherford Category 3). On evaluation noted to have ABI of 0.68 in the left leg. Angiogram done at outside hospital revealed tight calcified stenosis of the distal left SFA (TASC II type D lesion). Her pre procedure hemoglobin, platelets, INR and renal parameters were within normal limits.
Right CFA access, with placement of 45 cm crossover sheath. Lesion crossing with 0.014 wire. This would be followed by Shockwave lithoplasty and dru coated balloon angioplasty. Bailout stenting for flow limiting dissection would be considered.
Suggestions
LEFT SFA CTO REVASCULARIZATION – August 2020
197 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
172 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 […]
Chronic total occlusion (CTO) of left popliteal artery – June 2020
671 Case and Plan: This is a 68 F with hypertension, diabetes, dyslipidemia and peripheral arterial disease who had prior interventions of the right lower extremity. She presented to the office with life style limiting claudication that has progressed to pain at rest despite optimal medical and exercise therapy. Non invasive studies showed severely reduced ABI […]
Management of CLI and ALI During the COVID-19 Pandemic – May 2020
345 Case and Plan: Live Discussion with Q&A on “Management of CLI and ALI During the COVID-19 Pandemic