Ask Dr. Z

Please do NOT include any actual patient medical records with your question. Please consider my scenario below: A 6 french sehath was placed in the left femoral artery and a Quickcross catheter was then placed in the left anterior tibial artery, and selective angiogram was performed through the catheter. The catheter was placed distally in the left anterior tibial artery and subsequently a 0.014 Viper wire was placed and atherectomy was performed using a 1.5 Classic Diamondback Crown at low and medium speeds. Post atherectomy there was significant improvement with residual stenosis, 50-60%, which was treated with angioplasty at low pressure with a 2.4 mm long balloon catheter. Post angioplasty reduced to about 20% with much improved distal flow. In relation to the therapy performed, what would you suggest to report? Thank you for your consideration.