80 year old gentleman presents with slowly healing R foot 2nd toe ulcer (Rutherford Grade III – Category V, Fontaine stage IV, Wifi 1, 2, 1). His past medical history includes uncontrolled hypertension, Paroxysmal atrial fibrillation, Coronary Artery Disease s/p PCI to LAD in 2012, PAD s/p RSFA stenting at outside hospital 2 years ago. His medications include Aspirin, Eliquis, Metoprolol, Zocor and Lisinopril. He underwent ABI that was 0.35 in right lower extremity and 0.8 in left lower extremity. US Duplex showed severe in-stent stenosis of RSFA with distal occlusions and occluded AT. He underwent diagnostic peripheral angiogram at outside hospital that showed occluded RSFA stents with stent fracture with one vessel runoff. Here for Angioplasty of RSFA ISR.
Management of CLI and ALI During the COVID-19 Pandemic – May 2020
Case and Plan: Live Discussion with Q&A on “Management of CLI and ALI During the COVID-19 Pandemic
Management of PAD Patients During the COVID-19 Pandemic – March 2020
COVID talk for Cardiology GRWebinar_case (002) Case and Plan: Live Discussion with Q&A on “Management of PAD Patients During the COVID-19 Pandemic”
Bilateral Calcific Aorto-Iliac Disease – February 2020
Tags: Aorto-Iliac | bilateral | Illiac
Case and Plan: 87 year-old female with essential hypertension, who presented with BL buttock and thigh claudication. Initial non-invasive workup was unrevealing but a subsequent CT angiogram revealed severely calcific bilateral aorto-iliac disease. The patient tried conservative medical and exercise therapy with no improvement in her symptoms. She is now referred for further intervention with […]
Prior failed intervention of the Left SFA ISR, Re-attempt via Pedal Access – January 2020
Tags: ISR | Left SAF | Pedal Access
Case and Plan: 67 Male with HTN, DM, HLD and PAD (prior stent of the left SFA), who presented with life style limiting claudication (L>R). Non-invasive workup revealed in-stent re-stenosis of the prior SFA stent. A subsequent attempt to intervention was unsuccessful from the CFA, now referred for a re-attempt to intervention via pedal approach.