History : Case April’ 2014 80 year old female patient with past medical history of presents with complaints of bilateral claudication in buttocks, hip.

Slides:

Advertisements

Similar presentations

Peripheral Arterial Disease :PAD. Introduction PAD caused by atherosclerotic occlusion of arteries to legs Prevalence 12% and increases to 20% if persons.

Advertisements

Medical Student Small Group Discussion Topics

Aortic Pathology Angioclub Case Alex Copelan M.D. William Beaumont Hospital October 24, 2013.

Arterial ischemia – acute and chronic. Principles of Surgery lecture series 18 October 2011 Barry Rubin MD PhD FRCSC Vascular Surgery UHN.

Andrew Bunney MD, PGY-4 University of Minnesota

PERIPHERAL VASCULAR DISEASE: A VASCULAR SURGEON’S POINT OF VIEW

Coronary and Peripheral Case Work. Case 1: Acute MI( STEMI) Pt: 45 yr old Caucasian Male Several Hrs of Severe Chest pain Pt: Husband of RN Current Smoker.

MedPix Medical Image Database COW - Case of the Week Case Contributor: Anonymous Resident Affiliation: National Capital Consortium.

MedPix Medical Image Database COW - Case of the Week Case Contributor: Thomas C Alewine Affiliation: National Capital Consortium.

Sadie T. Velásquez, M.D.. A 68-year-old man is evaluated for left calf pain that occurs after walking 2-3 blocks, relieved with rest; he has had the pain.

Vascular Surgery 03/29/12 – 04/11/2012 David Williams Hao Zhang Justin Brown.

Peripheral Artery Disease Mays, Casserly, and Regensteiner

Peripheral Vascular Disease

Vascular ultrasound as diagnostic modalities for PAD

Peripheral Artery Disease (PAD)

Interventional Treatment of obstructive aortoiliac disease Dr Afshin Ghofraniha Interventional Cardiologist.

A diagnostic dilemma following aortic stenting. 69 year old male 2005: Weakness & pallor of both legs.

Ivo Petrov, L.Grozdinski, M.Pavlova

August 9th 2016 Structural Heart Live: ND, 89 yr.F

LIVE CASE PRESENTATION MOUNT SINAI CARDIAC CATH LAB

Color Duplex Imaging Goals: Adjunct to physiologic testing

Management of Aortic and Aortoiliac Stenoses and Occlusions

LIVE CASE PRESENTATION MOUNT SINAI CARDIAC CATH LAB

LIVE CASE PRESENTATION MOUNT SINAI CARDIAC CATH LAB

Angiographic Features of Atherosclerotic Superficial Femoral Artery Disease in Diabetics and Non-diabetics Presenting with Claudication Atif Mohammad,

Endovascular Live Case Mount Sinai Hospital, NY

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

LIVE CASE PRESENTATION MOUNT SINAI CARDIAC CATH LAB

History : Case March 26, year old male patient with complaints of left calf pain (Typical Claudication) at rest and on exertion (Fontaine II/B).

Case Presentation 7/23/ year old male patient with complaints of life style limiting right lower extremity claudication (Rutherford class I, category.

January 25th 2012: Case #1 69yr old

(A) CT Angiogram, 3D volume rendering of Stanford Type B aortic dissection extending from just distal to left subclavian artery origin into the abdominal.

Percutaneous Reconstruction of the Aortoiliac Bifurcation

Case report: Popliteal artery pseudoaneurysm with arterio-venous fistula after total knee replacement MD, PhD student Leonid Magnitskiy; MD, PhD, Prof.

Arterial ischemia – acute and chronic.

ALAA GABI, MD SUPERVISOR: MEHIAR EL-HAMDANI, MD

(A) This drawing illustrates axillobifemoral bypass, with a distal extension to the popliteal artery. This patient had severe ischemic change in right.

A 68-year-old man with history of hypertension and coronary artery disease (coronary artery bypass graft surgery in the past) with no follow-up in the.

Prashant Kaul, MD, FSCAI Piedmont Heart Institute, Atlanta, GA

VASCULAR SURGERY STATIONS

Role of simple and complex hybrid revascularization procedures for symptomatic lower extremity occlusive disease Hasan H. Dosluoglu, MD, Purandath Lall,

Frank Pomposelli, MD Journal of Vascular Surgery

A hybrid approach to recanalization of a chronic iliofemoral occlusion

Endovascular treatment of TransAtlantic Inter-Society Consensus D aortoiliac occlusive disease using unibody bifurcated endografts Robert M. Van Haren,

Endovascular management of TransAtlantic Inter-Society Consensus D iliac artery occlusion secondary to radiation arteritis Jonathan Lee, BS, Palma Shaw,

The potential for lower extermity revascularization without contrast arteriography: Experience with magnetic resonance angiography Richard P. Cambria,

Division of Endovascular Interventions

Static contrast technique for creating transpedal arterial access in patients with tibioperoneal occlusions John Chien-Hwa Chang, MD, Lau-Shen Lin, MD,

Outcomes of open and endovascular repair for ruptured and nonruptured internal iliac artery aneurysms Muhammad A. Rana, MBBS, Manju Kalra, MBBS, Gustavo.

Endovascular repair of para-anastomotic aneurysms of the aorta and iliac arteries: Preferred treatment for a complex problem Nicholas J. Morrissey, MD*,

Flow control technique to prevent distal embolization during mechanical thrombectomy Mathew Wooster, MD, Daniel Kloda, DO, Jacob Robison, MD, Joseph Hart,

Division of Endovascular Interventions

Endovascular Live Case Mount Sinai Hospital, NY

Outcomes of endovascular treatment of chronic total occlusion of the infrarenal aorta Tae-Hoon Kim, MD, Young-Guk Ko, MD, Ung Kim, MD, Jung-Sun Kim, MD,

Chapter 31 Assessment and Management of Patients With Vascular Disorders and Problems of Peripheral Circulation.

Intermittent claudication in a professional rugby player

Endovascular repair of a penetrating thoracic aortic ulcer by way of the carotid artery Michael J Heidenreich, MD, David G Neschis, MD, Michael J Costanza,

Clinical presentation and vascular imaging in giant cell arteritis of the femoropopliteal and tibioperoneal arteries. Analysis of four cases Federico.

J. V. Robbs, Ch. M. , F. R. C. S. , R. R. Human, F. C. S. (S. A. ), P

Rheolytic thrombectomy, angioplasty, and selective stenting for subacute isolated popliteal artery occlusions Hasan H. Dosluoglu, MD, Gregory S. Cherr,

Mark O. Baerlocher, BSc, Dheeraj K. Rajan, MD, FRCPC, FSIR, Douglas J

Kim J. Hodgson, M.D., David S. Sumner, M.D.

Recognition and treatment of arterial insufficiency from Cafergot

Figure 8b. Iliac arterial stenosis in a 53-year-old man with left leg claudication. An ABIankle-brachial index of 1.07 on the right and 0.71 on the left.

Figure 12a. Right toe wound and thrombangiitis obliterans in a 45-year-old woman with a history of smoking, hypertension, and bilateral rest pain in the.

Figure 6d. Near-total occlusion of the common femoral artery in a 71-year-old woman with claudication of the right lower extremity associated with walking.

Peripheral Vascular Intervention

Division of Endovascular Interventions

Case presentation 70 y.o. female PMH of HTN, HLD, DM, Hypothyroidism, Former smoker (quit 20 years ago), CAD s/p PCI of RCA,PAD s/p aorto-femoral bypass,

Presentation transcript:

History : Case April’ 2014 80 year old female patient with past medical history of presents with complaints of bilateral claudication in buttocks, hip and calf with left > right leg (Rutherford class I category 3) Past Medical History: Hypertension, Dyslipidemia, Asthma, CAD s/p CABG Medications: Zocor, Lisinopril, Carvedilol, Prilosec, Ferrous Sulfate, Meloxicam, Alendronate, Vitamin B12, Cilostazol. Aspirin, albuterol Social History: Ex-Smoker, no alcohol or IVDA

Pertinent Physical Exam Vitals: 125/72, 70/min, 16/min, 98F, 96% O2sat Peripheral: Pulses Doppler – DP/PT bilaterally Imaging ABI/PVR: showed 0.72 on the right and 0.44 on the left with waveforms suggestive of aortoiliac disease Peripheral Angiogram: showed significant stenosis of the distal aorta, ostial right common iliac artery stenosis and chronic total occlusion (CTO) of the left common iliac with reconstitution at the proximal left external iliac (Image A). Boderline stenosis of the left superficial femoral artery and right posterior tibial artery also noted. Patient currently planned for an endovascular intervention of the CTO of left common iliac and distal aortic / common iliac bifurcation