Expertise
Severe, Worsening Low Back Pain
79-year-old female with worsening low back pain. No falls or injury. Pain worsened with standing, walking and sitting. The patient had severe enough pain that performing the tasks of active daily living were becoming more burdensome.
Percuntaneous Fem-Pop
75 year old male, prior right leg bypass graft from the common femoral artery to the anterior tibial artery. Bypass graft failed due to poor outflow in the anterior tibial artery. During thrombolysis the patient had a large retroperitoneal bleed. Treatment was stopped and the patient was told there were no other options…
Renal Vein Stent Adjustment
Female initially presenting with pelvic venous congestion secondary to Nutcracker Phenomena. After treatment of the PVC, the patients pelvic complaints improved but they developed worsening symptoms of Nutcracker Syndrome. The NCS was treated with renal vein stenting and the symptoms improved. However, the patient had new right sided pain with deep breathing. The renal vein…
Uterine Fibroids
Prostate Cancer with Left Leg Swelling
65-year-old male, T3a prostate cancer. Prior robotic lymph node dissection for staging. Post-operative lymphocele developed along the left external iliac vein. Percutaneous drainage decompressed the fluid collection and improved the leg swelling. Collection re-occurred, and the leg swelling worsened with severe pain. Venography and intravascular ultrasound (IVUS) showed severe narrowing of the external iliac vein…
50 Yard Claudication
64-year-old female with a 2-year history of worsening left calf claudication. Pain has become severe enough the patient is having a hard time working and staying employed. CT angiography showed a heavily calcified common femoral artery plaque causing near occlusion of the artery. Retrograde superficial femoral access with directional atherectomy was attempted but limited due…
Chronic Iliofemoral DVT in a Young Male
22 year old with severe post thrombotic syndrome 6 months after left leg deep venous thrombosis (DVT). Initial attempt at catheter directed thrombolysis without iliac vein stenting resulted in re-thrombosis. The patient had severe restriction in activity due to venous claudication and he wanted to see if anything could be done. He underwent stenting and…