History : Case June 18’ 2014 59 year old male patient with complaints of life style limiting claudication symptoms in right leg at rest (Rutherford Grade.

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Presentation transcript:

History : Case June 18’ 2014 59 year old male patient with complaints of life style limiting claudication symptoms in right leg at rest (Rutherford Grade II category 4) on medication (cilostazol) and exercise program on presentation. Past Medical History: Hypertension, Dyslipidemia, DM type II, HIV Medications: Medications: Aspirin, cilostazol, Metoprolol, Amlodipine, Atorvastatin Social History: Non Smoker, no alcohol or IVDA

Pertinent Physical Exam Vitals: 134/72, 72/min, 16/min, 98F, 96% O2sat Peripheral: Pulses Doppler – DP/PT bilaterally, no tissue loss, no erythema Imaging ABI/PVR with result of 0.65 on the right, 0.82 on left at rest Arterial doppler showed total occlusion of the right distal SFA with moderate calcification Peripheral Angiogram: Right Distal SFA chronic total occlusion with two vessel runoff distally with occluded anterior tibial. Moderate diffuse disease of left SFA with three vessel runoff. Plan Patient now planned for Recanalizaton of CTO, calcified right distal superficial femoral artery.

TASC II Femero-popliteal lesion classification