Claudication
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…
Read MoreThrombosed Popliteal Artery Aneurysm
A 75-year-old male with severe PAD. Prior endovascular AAA repair. Prior right leg bypass graft times 2. Both failed. Prior right leg percutaneous bypass graft 9 months ago for CLI. Worsening left leg claudication and rest pain. The patient has a thrombosed bilobed popliteal artery aneurysms. Recanalization failed using conventional techniques even with antegrade and retrograde…
Read MoreCFA Occlusion, Claudication and Rest Pain
62-year-old female, a heavy smoker, noticed a relatively sudden worsening of chronic right calf claudication. Ultrasound and CT angiography demonstrated occlusion of the common femoral artery. The patient is overweight with a body mass index of 35. The patient was self-employed and did not want to, nor could afford the time off work to undergo…
Read MoreAortoIliac Occlusive Disease
62-year-old male, heavy smoker, with a long history of leg pain with walking. Lumar spine fusion was done with no improvement in symptoms. Exercise ABI’s demonstrated severe peripheral arterial disease. CT angiography showed occlusion of the infrarenal abdominal aorta, bilateral common iliac arteries, left external iliac artery, and severe right external iliac artery disease. Recanalization…
Read MoreDebilitating Leg Pain
A 59-year-old male with short distance exercise-induced left leg pain. The pain was severe and was interfering with the patients actively living. He was seen and treated for neurogenic claudication for several months without any improvement. The patient had palpable pulses in the left foot, which was mistaken as indicating he had good blood flow…
Read MoreRight Flank Pain With Exertion
A 50-year-old female has right flank pain that occurs when walking. Extensive workup for nonvascular causes was done, and severe stenosis in the abdominal aorta was found. During further workup, the patient had typical symptoms of leg claudication. However, it was their flank pain that was causing the most concern. Flank pain due to claudication…
Read MoreEndovascular Treatment of EIA and CFA Occlusions
56-year-old male, a lifelong smoker, presents with severe bilateral lower extremity claudication. At the initial visit, medical management and risk factors were addressed. Trial of management with Pletal failed at 1 month due to side effects. The patient’s employment was at risk due to limitations in walking. CT angiography showed left external iliac, common femoral…
Read MorePost Aorto-Bifemoral Graft Placement
60 year old female, smoker, underwent aorto-bifemoral bypass graft placement for severe iliac artery occlusive disease and short distance claudication. Patient had symptomatic improvement but quickly deteriorated on the right with worse symptoms than prior to surgery. Exercise ABI’s showed severe PAD with claudication at 125 yards. Patient was at risk of losing employment…
Read More50 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…
Read MoreOrbital Atherectomy
87-year-old male, living independently in a long-term facility. He could not walk from his room to the dining hall without stopping twice for severe left leg pain. Would 15 minutes to walk one block. Treated with atherectomy and angioplasty. He was able to walk out from the procedure to his car with no leg pain…
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