Peripheral Arterial Disease (PAD) - IR Angioplasty Iliac Lt
Presentation
Elective planned admission for angioplasty to treat peripheral arterial disease of lower limbs
Indication
ulcer on RIGHT heel. past medical history was noted: osteoporosis, hypercholesterolaemia, hypertension, CVA x2, appendicectomy, community acquired pneumonia (4.15), long-term catheter in situ, Hodgkin's lymphoma in remission
Technique
L->R FFXO. Ulcer on RIGHT heal. Stenosis of LEFT EIA and RIGHT SFA. Retrograde left to improve inflow. If possible, cross graft and plasty right SFA also. Retrograde high left SFA puncture. 5F sheath inserted. Moderate focal stenosis in the left CIA with moderate stenoses in the left EIA. The CIA was angioplastied using an 8 mm balloon and the EIA was angioplastied using a 6 mm balloon following 2000 IU of heparin IA with good appearances post angioplasty. The Fem-Fem crossover graft was then crossed to access the right CFA. Multifocal stenoses involves the right SFA with mild disease involving the popliteal. Patent TP trunk, AT, peroneal and PT. The right SFA and popliteal arteries were angioplastied using a 5 mm x 20 cm balloon following 3000IU of heparin. Good appearances post angioplasty. No immediate complications.
Outcome
Technical success. 1 year post angioplasty follow up, ulcer has healed.
Discussion
Stop smoking