71 year old woman presented with R LE 2nd toe ulcer (at web) with claudication at rest (Rutherford Class III – Category V). Her past medical history includes Hypertension, Dyslipidemia and Insulin dependent Diabetic Mellitus. She underwent Directional Atherectomy and PTA of LSFA in July 2015. Her medications include Aspirin, Pletal, Metoprolol, Lotrel and Insulin. She underwent ABI that was 0.3 in right lower extremity and 0.8 in left lower extremity. US Duplex showed severe stenosis of right Superficial Femoral Artery (RSFA) and RAT and RPER infrapopliteal vessel occlusions. Now planned for Antegrade/Retrograde approach Percutaneous Transluminal Angioplasty of RSFA and R AT (based on US Duplex).
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.