61 male presenting with Critical Limb Ischemia (rest pain and early gangrenous changes of his left foot) on a background of known PAD, recent right SFA intervention with known multilevel left lower extremity arterial disease, CAD, PCI of the RCA (6 months ago for an Inferior MI), EF of 30%, HTN, HPL, GERD and BPH. Plan to intervene on the left SFA and possible infrapopliteal vessels.