71 year old male with history of hypertension, dyslipidemia, coronary artery disease status post CABG, CVA in 2014 with no residual deficits and abdominal aortic aneurysm repair in 2006. He had presented with bilateral claudication in November, 2016. At that time he had left common femoral endarterectomy and angioplasty of the left SFA and popliteal artery. This was followed by staged endarterectomy of the right common femoral artery. He again started having bilateral lower extremity claudication (Rutherford category 3), left > right since April, 2017. Most recent ABI’s done in May, 2017- Right – 0.83, Left – 0.77.