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.
Endovascular repair of an anastomic stenosis of a aortobifemoral bypass graft using JetStream atherectomy
87 year old with severe left leg claudication limiting ability to walk more than 100 feet
Presentation at Charring Cross Meeting London 2015