Case and Plan:
66-year-old male referred for lifestyle-limiting claudication progressive to ischemic rest pain (L>R) with < 1 block of activity (Rutherford Grade II, Category 4). Symptoms began to worsen again 5-6 months ago.
PMHx: PAD s/p multiple interventions (recurrent CTO of left SFA), HTN, HLD, IDDMII
Social Hx: Never smoker
Medications: Aspirin, Plavix, Atorvastatin, Protonix, Losartan, Amlodipine, Insulin