1055_Krishnan.pdf

1、Novel SFA TherapyDivision of Endovascular InterventionsThe Mount Sinai HospitalHistory of Presenting Illness73 year-old gentleman referred for lifestyle-limiting claudication progressive to ischemic rest pain(RL)with 200 mm in length 30Intervention AngiogramVenous Access and Proximal/Distal Endocros

2、s32PTA Creating AVF with Stent Delivery and Deployment33Post Stent Dilatation Starting at Proximal Site34Post Intervention AngiogramPost-Intervention PTAB Angiogram36Use:Insert tab Text group Header&Footer dialog to globally edit the footer37Discussion Points-How does PTAB fit into your endovascular

3、 algorithm?-Is pre-procedural case planning with axial imaging and venous imaging a necessity?-What will your surveillance protocol post-procedure be?Any differences from your routine protocol?-What will your antiplatelet or anticoagulation regimen be?Any differences from your routine protocol?38Unm

4、et Needs No drug in the proximal or distal uncovered stent What if there is not an adequate landing zone above knee or in the popliteal artery DVT rate is low but there is still a risk of DVT Is there an option for a non-PTFE conduitUse:Insert tab Text group Header&Footer dialog to globally edit the

5、 footer39Deep Vein Arterialization for Critical Limb Ischemia with Gangrene Division of Endovascular InterventionsThe Mount Sinai HospitalPatient HistoryPt is an 85yo Hispanic male,with a PMHx IDDM,HTN,HLD,CKD III,SSS s/p PPM,AF on Eliquis,hypothyroidism,prostate Ca s/p prostatectomy,severe PAD s/p

6、multiple interventions and L 2nd4thtoe amputation(7/22/2020)who presents with gangrene of 1sttoe,nonhealing ulcer of recent amputation site and rest pain,Rutherford Stage 6Medications:Eliquis,Insulin,Plavix,Metoprolol Succinate,Hydralazine,Dronaderone,Albuterol,Lipitor,Symbicort,FlomaxPrior Angiogra