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 SFA via transpedal approach, patient is planned for R SFA CTO intervention via transpedal approach due to persistence of lifestyle limiting claudication from the R lower extremity.

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