42 year old male presents with bilateral lower extremity swelling for few years. His significant medical history included chronic venous insufficiency s/p bilateral great saphenous veins (GSV) ablation at outside hospital 5 years ago and later 2 years ago found to have bilateral iliac veins DVT treated with anticoagulation therapy. Physical exam showed bilateral lower extremity swelling with skin changes (CEAP – class IV). Lower extremity venous Duplex US showed bilateral external Iliac veins chronic DVT and other deep venous system were compressible without respiratory phasic variation and significant deep venous reflux. He also noted to have absent bilateral GSV’s. He underwent MRV that showed similar findings without any abdominal/pelvic pathology. Now planned for IVUS guided bilateral iliac veins stenting.
Management of SFA In-Stent Restenosis – February 2021
Case and Plan: 62-year-old female with history of PAD s/p prior peripheral interventions presenting with severe right calf pain with minimal ambulation (
Transpedal Approach for SFA CTO Intervention – January 2021
Case and Plan: 77 year-old-female with a PMHx of HTN, HLD, CAD s/p PCI (last being in 2010), AAA s/p endovascular repair 11/2019, hypothyroidism, who presented originally in 7/2020 with worsening debilitating claudication bilaterally, L to R, despite maximal medical therapy, limited to 1 block (Rutherford Grade II, Category 3). After successful revascularization of L […]
Endovascular Management of Aorto-Iliac Disease – December 2020
Case and Plan: 42-year-old male with history of hypertension, type 2 diabetes and hyperlipidemia presenting with lifestyle-limiting lower extremity claudication with minimal exertion, after walking 2 blocks and resolves with rest (Rutherford grade I, category 3). Non-invasive studies suggestive aorto-iliac bifurcation disease with monophasic waveforms below the segment. Patient underwent CT Angio with bilateral iliac […]
Transradial Intervention of Iliac Disease for Chronic Limb Ischemia – November 2020
Case and Plan: Patient is a 54-year-old female smoker with known PAD, s/p R fem-pop bypass, s/p unsuccessful PTA of left SFO CTO on 10/2019 who is presenting with non-healing left foot ulcer for 2 months and associated ischemic rest pain (Rutherford grade III, category 5). Planned transradial intervention for L external iliac severe stenosis.