Claudication and rest pain secondary to CFA occlusion

about this presentation

62 year old female, heavy smoker, noticed a relatively sudden worsening of chronic right calf claudication. Ultrasound and CT angiography demonstrated occlusion of the common femoral artery. The patient is overweight with a body mass index of 35. The patient was self employed and did not want, nor could afford the time off work to under go a common femoral endarterectomy. Endovascular repair with pathway atherectomy in a 60 minute procedure. Patient spent a total of 4 hours at our out patient center and was back at work the next day. At 6 months, the patient has stopped smoking, and remains symptom free. Optimal medical therapy with blood pressure control, statin and dual antiplatelet therapy. Arterial ultrasound shows a widely patent CFA and exercise ABI's are essentially normal.

More Seldinger Files

Leg & Foot UlcersPost thrombotic venous ulceration

38 year old female with severe post thrombotic syndrome and severe venous ulceration for 8 years

Critical Limb IschemiaAnte/retrograde recanalization occluded ATA for CLI

79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.

Iliac Vein CompressionLeg pain and swelling after road trip

30 year old female, on oral contraceptives, with severe left leg swelling after a long car ride. Ultrasound showed left iliofemoral DVT.