Peripheral Arterial Disease
Endovascular 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…
Read MoreClinical Evaluation of the Foot for Peripheral Arterial Disease
Peripheral arterial disease (PAD) and its more severe variant critical limb ischemia (CLI) can be notoriously difficult to diagnose.
Read MoreReperfusion Syndrome and Critical Limb Ischemia
Reperfusion syndrome and inury can occur after revascularization in patients with critical limb ischemia but the entity is poorly understood.
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