Peripheral cases
Recanalization of CTO, Atherectomy and PTA of Calcified Left Superficial femoral Artery Stenosis – Nov 2013

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Views 742

67 year old female patient with complaints of life style limiting claudication symptoms in both legs, left more than right (Rutherford Grade II category 4) on medication (Cilostazol) and exercise program on presentation.

Past Medical History: Hypertension, Diabetes Mellitus Type II, Hyperlipidemia, PAD, CAD s/p PCI of LAD and RCA, Hepatitis B, Anemia of chronic disease

Medications: Atorvastatin 40mg PO daily, metoprolol XL 25 mg PO daily, HCTZ 12.5 mg PO daily, Aspirin 81mg PO daily, clopidogrel 75 mg PO daily, Lantus 15 units, Amlodipine 10mg PO daily, Cilostazol 100mg PO BID

Social History: Non Smoker, no alcohol or IVDA

Plan: Patient now planned for Recanalizaton of CTO, Atherectomy and PTA of long segment calcified left superficial femoral artery stenosis.



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Management of PAD Patients During the COVID-19 Pandemic
Views 486

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 518

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 […]