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68 year old female with Rutherford class III, nonsmoker, CAD, CABG -1997, DM Type 2, Hyperlipidemia, HTN, PAD. - Intervention

Posted: 3/13/2012

Case #1: January 4, 0800 Performing physicians: Mustapha/Karenko 68-year-old female with Rutherford class III, nonsmoker, CAD, CABG -1997, DM Type II, hyperlipidemia, HTN, PAD, Physical exam: No wounds (HbA1c: 7; BMI 36.6) Diagnostics: • Pre-procedure ABI: R 0.45, L 0.78 • CTA: abnormal suggesting R SFA occlusion; L AT occlusion.

53 year old male inpatient for CLI, ambulates with cane, left foot in a cast, right foot with dry gangrene and necrotic toes. - Introduction

Posted: 3/15/2012

Case #3: January 4, 1300Performing physicians: Mustapha/Saab 53-year-old male inpatient for CLI, ambulates with cane, L foot in a cast, R foot with dry gangrene and necrotic toes.PMH: dyslipidemia, obesity, IDDM, HTN, neuropathy, nephropathy (ESRD: dialysis M-W-F), CAD, PAD, TIA, CHF.Diagnostics:

86 year old female admitted for CLI for limb salvage, former smoker. - Conclusion

Posted: 3/13/2012

Case #2: January 4, 1100Performing physicians: Mustapha/Saab 85-year-old female admitted for CLI for limb salvage. Former smoker. PMH: Hyperlipidemia, HTN, DM Type II, CAD, PAD, atrial fibrillation, interstitial lung disease.

Complex Long segment SFA CTO and Popliteal intervention with staged TPT/AT intervention. Subintimal crossing technique with Reentry device (Medtronic Pioneer) to access distal vessel - Access

Posted: 7/23/2014

1. Access via a retrograde approach 2. Technique and equipment for the retrograde approach. Use of support catheter and wire for retrograde approach after failed antegrade approach. 3. PTA results 4. Angiosome concept 5. Hemostasis

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