63 year old male with PMH of HTN, HLD, NIDDM, CKD, former smoker, CAD s/p recent CABG on 11/1/2018 and PAD with failed attempt at Left fem-pop bypass and who presents with b/l LE claudication, L>R, occurring at 1-2 blocks for the past month. Rt ABI=0.88/Lt ABI=0.72. Recent angiogram done showed bilateral SFA occlusions and significant left CFA and profunda femoris involvement with bilateral three vessel run off.