The patient had two procedures first on (b)(6) 2017 for the right sfa, and second on (b)64) 2017 for the left sfa/popliteal.Both cases used csi orbital atherectomy followed by in.Pact admiral.Bilateral rash below the knees to the ankle occurred 3 days post second procedure.She had blisters over the anterior surface of her bilateral lower extremities with developing erythema and pain.The blisters popped and then had skin sloughing and dryness.She has continued pain which has worsened to the point that when she moves to walk or even lift her legs up it stretches the skin and has shooting pain.The patient denies chest pain, sob, abdominal pain, nausea, vomiting, diarrhoea or constipation.Patient presented to er with a red and swelled rle with severe pain.When the patient walks, she has ble leg pain, right>left.An ultrasound of her lower extremities was negative for deep venous thrombosis.The patient did receive a drug eluting stent with paclitaxel.Patient is in need of bilateral knee surgery, but not a candidate due to pad.Le duplex revealed severe disease of the right sfa, tpt and an occluded at.Patient has a mild disease at the prior left popliteal pta site and an occluded left pt.Patient has potential venous insufficiency with compression rx recommended.Leg pain is consistent with claudication.No symptoms attributable to valvular heart disease.Patient was placed on medication.
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