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Clinical History
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Procedures Performed
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1. Aortogram
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2. Right lower extremity arteriogram
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3. Right femoral and above knee popliteal artery atherectomy and PTA
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4. Right peroneal artery atherectomy and PTA
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5. Right posterior tibial artery PTA
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Procedure and findings
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Fluoroscopy time
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Total contrast
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Impression
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1. Patent abdominal aorta
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2. Right distal femoral and above knee popliteal artery stenoses. Successful laser atherectomy and 4 mm PTA
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3. Occlusion of all 3 proximal trifurcation arteries with reconstitution in their mid portions
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4. Successful laser atherectomy and 2.5 mm PTA of right peroneal artery with restoration of continuous flow distally
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5. Successful 2.5 mm PTA of right posterior tibial artery with restoration of continuous flow distally
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6. If symptoms persist, consideration can be given to attempted right anterior tibial artery recanalization
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