- June 1, 2021
- Posted by: cmcdonald
- Categories: Case Study, Peripheral Arterial Disease
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Patient History and Consultation
- A 69-year-old male with multiple cardiovascular risk factors was referred 2 months status post amputation of the right great toe region due to osteomyelitis. He has continued non-healing at the amputation site.
- PMHx: HTN, DM, HLD, prior left toe amputation.
- Former smoker.
- Medications:
– Metformin – 1,000 mg
– Glipizide – 10 mg
– Tradjenta – 5 mg
– Amlodipine – 10 mg
– Simvastatin – 20 mg
– Aspirin – 81 mg
– Clopidogrel – 75 mg
Treatment Plan
- Increase statin
- Maintain anti-plt therapy
- Nutrition discussion
- Arterial imaging
- Angiogram
Initial angiogram: 12/1/20
Technical point
Post Intervention Images
Clinical Image Progression
Repeat Intervention 1/19/21
2nd proc – “Kissing” Balloon and Pedal Loop
Diligent Care is needed
- Medical management
- Wound management
- Vascular management
- Expectation management
- Multi-discipline approach