56 year old male, life long smoker, presents with severe bilateral lower extremity claudication. At initial visit, medical management and risk factors were addressed. Trial of management with Pletal failed at 1 month due to side effects. Patient's employment was at risk due to limitations in walking. CT angiography showed left external iliac, common femoral and superficial femoral artery occlusions. Endovascular therapy was performed with angioplasty and stenting the left EIA and JetStream atherectomy of the left CFA. At 31 months the left EIA and CFA remain patent.
62 year old female with 2 months of short distance claudication and rest pain at night
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.
64 year old female with severe short distance claudication limiting the patients ability to work