66 year old woman presents with Right Lower extremity claudication with 1 block (Rutherford Class II – Category III). She is known to have CLI, hypertension, Insulin dependent Diabetes Mellitus, Coronary artery disease and Dyslipidemia. She currently takes Aspirin, Plavix, Lopressor, Insulin, Januvia, Crestor, antibiotics and Neurontin. She underwent resting Ankle Brachial Index (ABI) which was 0.6 on right lower extremity and 0.2 on left lower extremity. She is known to have non healing ulcer of the left foot with osteomyelitis of first metatarsal and lateral hallux and s/p Left SFA PTA/stenting in December 2015 and L AT and LPER PTA on January 15th 2016. Now planned for Percutaneous Transluminal Angioplasty of long chronic total occlusion of RSFA.
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.