Hypertension in Surgery — 64yo Man | Vascular Surgery | SMLE Q#1165
SMLE Question #1165
Surgery
Vascular Surgery
Last updated: February 2026
A 64-year-old man with hypertension and type 2 diabetes reports progressive left calf claudication after walking one block, limiting daily activities. He completed smoking cessation, antiplatelet therapy, high-intensity statin, and a supervised exercise program without adequate relief. Duplex/CTA shows left ankle–brachial index 0.50 and a 3-cm focal occlusion of the superficial femoral artery with patent distal runoff. The limb is viable with no rest pain or tissue loss. What is the most appropriate definitive management of this lesion?
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