Peripheral cases
Percutaneous Transluminal Angioplasty of LAT/LPT – March 2016
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80 year-old woman presented with left foot non healing ulcer (lateral aspect) (Rutherford Grade III – Category V, Fontaine Stage IV, Wifi 1,2,1). Her medical history includes non-obstructive CAD, PAD s/p DCB PTA of LSFA and PTA of L AT in 2014, 2nd left toe amputation, hypertension, Insulin dependent Diabetes Mellitus, ESRD on HD, permanent atrial fibrillation, Pacemaker implantation, and Dyslipidemia. Her current medications include Aspirin, Plavix, Lopressor, Insulin, Crestor, sensipar and antibiotics. She underwent resting Ankle Brachial Index (ABI) which was 0.6 on right lower extremity and 0.3 on left lower extremity. US Duplex showed long segment occlusions of infra popliteal vessels. Now planned for Percutaneous Transluminal Angioplasty of LAT/LPT (based on US Duplex).

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Management of PAD Patients During the COVID-19 Pandemic
Views 487

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
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Views 519

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
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Views 716

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.


Popliteal Artery CTO Intervention w/ failed prior attempt – December 2019
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Views 504

Case and Plan: 68 M with Hypertension, hyperlipidemia, smoking and known history of PAD, presents with worsening R > L claudication, that has progressed to pain at rest. He had a subsequent angiogram done that showed complete occlusion of the popliteal artery that reconstitutes at the level of TP trunk. He had a prior attempt […]