50- year- old female patient with past medical history of mild intermittent asthma and hyper-tension presented with complaints of right leg swelling progressively worsening for a week . Lower extremity venous Doppler showed no evidence of deep vein thrombosis (DVT) in the femoral-popliteal systems bilaterally; however loss of respiratory variation in the wave-forms was seen in the right leg, raising the suspicion of possible DVT in the right external iliac or common iliac vein. Patient underwent CT venogram of the abdomen and pelvis with lower extremity run off. Results showed evidence of DVT in the right external iliac vein. Workup for various hypercoagulable states has been negative and she was started on anticoagulation for DVT with placement of retrievable IVC filter.
Plan: Patient is currently scheduled for endovascular treatment of DVT.
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.