Case Reports
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Lower Extremity – ATK
Successful Revascularization of Aortoiliac Stenosis Via Radial Access
Sameh Sayfo, MD
A woman in her mid 50s with a medical history of coronary artery disease, coronary artery bypass grafting, and diabetes presented with severe bilateral hip claudication.
Successful Revascularization of SFA Stenosis Via Radial Access
Sameh Sayfo, MD
A woman in her early 70s with a medical history of diabetes, hypertension, and hyperlipidemia presented to the hospital with worsening left lower extremity claudication (Rutherford class 3).
Successful Revascularization of a 99% Left CFA Stenosis Via a Radial Approach Facilitated by the Sublime™ Microcatheter
Amit Srivastava, MD
A man in his early 70s with a prior medical history of a left femoral endarterectomy, peripheral artery disease, diabetes, hyperlipidemia, and hypertension presented with a recurrent wound in his left lateral malleolus from the original femoral endarterectomy. An arterial ultrasound demonstrated severe left femoral arterial stenosis with peak systolic velocity at 300 cm/second. Based on the patient’s arterial ultrasound and prior history, the patient was immediately taken to the angiography suite.
5 Fr Radial Access for Bilateral Iliac Artery Stenting Using the Surmodics Sublime™ 120 cm Guide Sheath
Robert Minor, MD
A woman in her early 60s with a medical history of smoking (former), statin intolerance, and coronary artery disease presented with severe right-greater-than-left buttock and thigh claudication and inability to walk one block. Ankle-brachial index (ABI) showed right ABI of 0.73 falling to 0.59 with exercise, and left ABI of 1.0 falling to 0.85 with exercise.
Lower Extremity – BTK
Successful Revascularization of Near-Total Peroneal Artery Occlusion
Via Radial Access
Matthew C. Hann, MD
A man in his mid 70s with a nonhealing ulcer on his right great toe (Figure 1) was referred by his podiatrist to interventional care for revascularization of his right leg. The patient had a history of hypertension, hyperlipidemia, chronic kidney disease, diastolic heart failure, coronary artery disease, and diabetes. He had been followed by wound care for his nonhealing toe ulcer for several months prior to presentation for interventional care. A previous Doppler study performed by the podiatrist suggested a distal superficial femoral artery (SFA) stenosis. A CT scan that had been performed several months prior had shown occlusion of all below-the-knee (BTK) vessels, but the patient had not had a nonhealing wound at that time and conservative treatment was recommended.
Successful Revascularization of Distal AT and DP Via the Radial Approach
Ankit A. Patel, MD
A woman in her mid 80s presented with a nonhealing wound on the lateral aspect of her left foot. Although she had been receiving wound care at an outside location, the wound resisted healing, and she reported pain in the foot. After ultrasound confirmation of diseased vessels in the foot, and with her TBI (toe-brachial index) in the range of 0.5 to 0.6, she was referred in for further diagnosis and potential treatment.
Successful Below-the-Knee Revascularization Via Radial Access With Sublime™ Platform
Ankit A. Patel, MD
A woman in her early 60s with a history of diabetes, hypertension, hyperlipidemia, and peripheral artery disease presented with a nonhealing wound in her right lower leg.
Successful Revascularization of BTK In-Stent Restenosis Via Radial Access
Sameh Sayfo, MD
A man in his early 80s with extensive previous peripheral artery disease presented with resting pain. He had a previously placed stent extending from the peroneal artery to the distal popliteal artery. The patient had experienced contralateral groin access complications (pseudoaneurysm) in the past requiring thrombin injection.
Revascularization of Femoropopliteal and Tibiopedal Total Occlusions Facilitated by Use of the Sublime™ Microcatheter
Craig Walker, MD
A 74-year-old male with a medical history of PAD, tobacco use (former), hypertension, chronic lung disease, and dyslipidemia presented to the clinic with severe PAD with true ischemic rest pain in the right lower extremity (Rutherford 4) and prior femoropopliteal bypass surgery.
Successful 3-Vessel Below-the-knee Intervention from the Left Radial Artery Using a Sublime™ 5 Fr, 150 cm Guide Sheath
Imraan Ansaarie, MD
An 82-year-old female was admitted to the hospital for chronic nonhealing wounds on both heels.
Successful Revascularization of the Foot from the Radial Approach Using the Sublime™ Platform
Ramzan M. Zakir, MD
A 75-year-old female with a medical history of diabetes, hypertension, smoking (former), and anemia presented with multiple nonhealing wounds on the left foot.
Sublime™ Radial Access Devices Used to Treat a Left Plantar Diabetic Foot Ulceration with Rutherford Category 6 CLI
Paul Michael, MD
A 72-year-old male with type 2 diabetes mellitus, coronary artery disease, hypertension, and a history of PAD with left axillofemoral bypass and sequential femoral-tibial bypass grafting presented with a large nonhealing diabetic foot ulceration and severe rest pain of his left leg. He was referred for a second opinion regarding amputation prevention.
Successful Below-the-Knee Angioplasty Using the Sublime™ Radial Access Platform
Ankur Lodha, MD
A 52-year-old male presented with discomfort to his left calf and had pregangrenous changes of nonhealing wounds on the toes of his left foot.
Successful Bilateral Angioplasty Treatment of Tibial Arteries Using the Sublime™ Radial Access Platform
Michael J. De Luca, MD
A woman in her early 80s with a history of peripheral artery disease and intermittent claudication in both legs presented with symptoms of pain and numbness to the lower extremities.
5 Fr Below-the-Knee Revascularization Using a Radial Approach
Pradeep Nair, MD
A 76-year-old male with a past medical history of PAD, a previous below-the-knee amputation of the left leg, and CAD s/p CABG presented to the clinic with wounds to the right toe. The patient’s common femoral arteries were densely calcified with high bifurcations of the profunda and superficial femoral artery. Previous femoral access procedures led to severe bleeding complications requiring ICU stay.
Pedal Loop Revascularization Using the Sublime™ RX PTA Dilatation Catheters via a Radial Approach
Pradeep Nair, MD
A man in his early 70s with a past medical history of coronary artery disease, peripheral artery disease, and hypertension presented to the clinic with gangrenous changes to the fifth digit (Rutherford category 5). The patient had previous right femoral endarterectomies leading to dense scar tissue at the prior access sites.
Pelvic and Visceral Arteries
Uterine Fibroid Embolization Assisted with the Sublime™ Guide Sheath
Aaron Kovaleski, MD
A 49-year-old female presented to the clinic with heavy menstrual bleeding lasting up to 21 days at a time. Patient had severe pelvic cramping and a known diagnosis of fibroids.
Treatment of the Dorsal Penile and Pudendal Arteries Using the Sublime™ Radial Access Platform
Aaron Kovaleski, MD
A 57-year-old male presented to the clinic with longstanding erectile dysfunction and was unresponsive to prescription medications. The patient also had a past medical history of diabetes, hyperlipidemia, hypertension, and atrial fibrillation.