Shockwave Lithoplasty in Calcified Superficial Femoral Artery Stenosis – October 2017
2076 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
Management of SFA CTO with BTK Disease in CLI & Demonstration of the GoBack™ Crossing Catheter – April 2021
90 Case & Plan: 65-year-old female with a PMHx of CAD (s/p CABG x 4v + MVR in 2017), Ischemic Cardiomyopathy (EF 35% on TTE in 2017), IDDM, HTN, HLD, PAD (s/p multiple EVIs), former smoker, admitted for left great toe ulcer/eschar with bilateral SFA CTOs and below the knee disease.
TCAR Approach for Asymptomatic Severe ICA Stenosis – March 2021
194 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
257 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
707 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 […]