66 year old male patient with past medical history of hypertension, dyslipidemia, diabetes mellitus type II, ex-smoker presents with complaints of left foot pain at rest and non-healing wound on the left first and second toe (Rutherford class III category 5). Peripheral angiogram performed showed non obstructive disease of the right superficial femoral artery with significant stenosis of the distal right anterior tibial and distal posterior tibial artery. Non obstructive disease of the left superficial femoral artery with significant stenosis of the mid left posterior tibial and CTO of the left anterior tibial artery which reconstitutes distally via peroneal artery collaterals. Patient currently planned for an endovascular intervention of the long segment left anterior tibial artery CTO. We will discuss about the endovascular indications and approach towards the below knee vessel CTO.
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.