Case Reports

New Case Reports


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.


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.


Successful Revascularization of Superficial Femoral Artery Total Occlusion Using the Sublime™ Radial Access Platform

Sameh Sayfo, MD

A 77-year-old male with a medical history of coronary artery disease, carotid artery disease, type 2 diabetes mellitus, hypertension, and renal artery stenosis presented with worsening right lower extremity claudication (Rutherford class 3) and an abnormal ankle-brachial index of 0.23 on the right side.


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.


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 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.


Uterine Fibroid Embolization Assisted with the Sublime™ Radial Access 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.


Industry’s Longest Radial Devices Enable Treatment of Tibial Arteries from the Wrist

Ankur Lodha, MD

A 59-year-old male presented with a non-healing wound in the right lower extremity. In addition, the patient had contractures in his right lower extremity and known occlusions of the right external iliac artery and the right radial artery.


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.


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.


Tibial Artery and Medial/Lateral Plantar Artery Revascularization Using a Radial Approach

Paul Michael, MD

A 56-year-old female with a past medical history of OSA, morbid obesity and Rutherford class 5 CLI presented to the clinic with a non-healing diabetic foot ulcer.


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.