1. Division of Endovascular Interventions Mount Sinai Hospital, NY
04/25/2018

2. History and Examination
83 year old female, independent living
HTN, dyslipidemia and hypertension
PAD – right SFA angioplasty in 2016
Severe left lower extremity claudication (Rutherford category 3), worsening over last 1 year

3. Labs and non-invasive testing
Hb- 13.8
Platelets – 165 k
INR – 1.0
Creatinine – 1.3
ABI (right), 0.74 (left)

4. Strategy Right CFA access 6F 45 cm crossover sheath
Lesion crossing with wire
Nav6 filter deployment
Pathway atherectomy
DCB angioplasty
Supera for recoil, flow limiting dissections