CASE & Plan:
HPI: 71-year-old male who presents to MSH with CLTI
PMHx: IDDM, hypothyroidism, CKD and HTN
Social Hx: Former smoker
Medications: Glipizide, Metformin, Levothyroxine, Januvia, Amlodipine, Lipitor, gabapentin, Lisinopril, Prilosec, insulin
Presenting with bilateral lower ext non healing ischemic ulcers.
Left prox SFA IVL, atherectomy, and DES (Zilver PTX)
Left mid to distal SFA IVL, DCB, BMS (Supera)
Left peroneal PTA and DES (Xiance Skypoint)
Prox AT and PT remain CTO but filled via peroneal collaterals
