Case and Plan:
History of Presenting IlIness: 79-year-old woman with PAD and prior right SFA intervention (07/2023) and left SFA intervention (10/2023). She reports lifestyle-limiting bilateral claudication (R greater than L), which subsequently progressed to rest pain (Rutherford 4) Arterial duplex showed diffuse calcified disease, bilateral monophasic popliteal and anterior tibial waveforms, and absent posterior tibial flow bilaterally Diagnostic angiography on 07/08/2026 identified a right mid-SFACTO and complex BK anatomy with 0 runoff Staged intervention was deferred after a left fibula fracture in July 2026. Following orthopaedic recovery and neurology review for her prior subdural hematoma, she returns for intervention today
PMHx: T2DM, HTN, HLD, PAD with prior interventions, prior subdural hematoma s/p MMA embolization (10/2025), left fibula fracture (07/2026)
Social Hx: Former Smoker
Medications: Aspirin, Cilostazol, Atorvastatin, Ezetimibe, Insulin (Novolog Mix 70-30), Zestril, Gabapentin 2
