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.