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Endovascular Management of Lower Limb Claudication due to Infra-Inguinal Disease

  • Robert R. Attaran
  • Carlos I. Mena-Hurtado
Chapter

Case Report

An 80-year-old man with known peripheral artery disease and prior left superficial femoral artery (SFA) endovascular interventions comes to see you in clinic complaining of left calf heaviness from walking 100 yards. Medical history includes coronary artery disease, hypertension, diabetes and obesity. He cannot recall details but states that his last intervention was approximately 3 years ago at another institution. He tells you that he has previously tried cilostazol but stopped taking it due to pedal edema and gastric upset.

On your physical examination both femoral pulses are palpable, the popliteal pulses are difficult to palpate due to habitus and the left pedal pulses are appreciable by hand-held Doppler only. You order a bilateral US Duplex arterial study. The study reports restenosis in the left SFA. As the patient is severely symptomatic you proceed with invasive angiography.

Question 1

Which of the following statements is NOT correct?

  1. A.

    The SFA stented segment is...

References

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Section of Cardiovascular MedicineYale UniversityNew HavenUSA

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