Transradial Approach for CFA Intervention Involving Fem-Fem Bypass Graft – July 2020
177 Case and Plan:
70 year-old male with a PMHx of HTN, HLD, asthma, NIDDM, CKD Stage III, HFpEF (55%), MGUS, CAD s/p 2vCABG and PAD s/p bilateral common iliac stent c/b left common iliac artery stent occlusion s/p R->L fem-fem bypass who is presenting with progressive claudication now present at rest (Rutherford 4). Lower extremity ultrasound revealed 50-99% stenosis of the R common femoral artery immediately proximal to bypass graft anastomosis. Given complex anatomic restrictions, plan is for transradial approach for R common femoral artery intervention.
Suggestions
Management of Aortoiliac Disease (CERAB Technique) – September 2020
11 Case and Plan: 72 year-old female with hypertension, hyperlipidemia, COPD, hypothyroidism, former smoker with several months of bilateral, severe lifestyle limiting claudication with less than 1/2-1 block of exertion that has progressed to pain at rest. Pain involves her bilateral thighs, legs and feet. Noninvasive studies severely reduced ABIs bilaterally with monophasic waveforms in the […]
LEFT SFA CTO REVASCULARIZATION – August 2020
205 Case and Plan: 55 year-old-male with mutliple comorbidities, who presents with ongoing, bilateral lifestyle-limiting claudication now progressed to rest pain (L>R) who is status post R SFA CTO intervention and now planned for L SFA CTO intervention via femoral approach.
Chronic total occlusion (CTO) of left popliteal artery – June 2020
677 Case and Plan: This is a 68 F with hypertension, diabetes, dyslipidemia and peripheral arterial disease who had prior interventions of the right lower extremity. She presented to the office with life style limiting claudication that has progressed to pain at rest despite optimal medical and exercise therapy. Non invasive studies showed severely reduced ABI […]
Management of CLI and ALI During the COVID-19 Pandemic – May 2020
349 Case and Plan: Live Discussion with Q&A on “Management of CLI and ALI During the COVID-19 Pandemic