53 year old male inpatient for CLI, ambulates with cane, left foot in a cast, right foot with dry gangrene and necrotic toes. - Conclusion

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Full Description: 

Case #3: January 4, 1300
Performing physicians: Mustapha/Saab
53-year-old male inpatient for CLI, ambulates with cane, L foot in a cast, R foot with dry gangrene and necrotic toes.
PMH: dyslipidemia, obesity, IDDM, HTN, neuropathy, nephropathy (ESRD: dialysis M-W-F), CAD, PAD, TIA, CHF.
Diagnostics:
• Pre-procedure resting ABIs: R lower extremity: 1.17; L lower extremity: 1.79
• Echo: EF 55%
• L foot MRI: suggest Charcot foot, mild osteomyelitis
Wound clinic and Podiatry consults
JAMs treatment plan:
• Feet first on the table
• Antegrade access to R lower extremity – (R groin)
• 5F Terumo MicroSheath
• 6F Terumo Pinnacle Destination
• Navicross 0.018 and Glidecross 0.18
• 1.25 Stealth Diamondback
• Vascutrack 2.5X40 mm or Chocolate 2.5X40 mm (rep will be in the lobby)

Facility Name: 
Presenter Name: 

Jihad A. Mustapha, MD, FACC, FSCAI

Presenter Title: 

Director of Peripheral Intervention & Cardiovascular Research

Metro Health Hospital

Wyoming, Michigan