81 year old male with known history of type 2 DM, hypertension, dyslipidemia and coronary artery disease. He presented for evaluation of worsening bilateral calf claudication (left > right), current claudication distance < 1 block. ABI's done 2 months ago (Right- 0.93, left - 0.78). Reports minimal symptom relief with exercise therapy and cilostazol therapy. Underwent lower extremity angiogram which showed a severe calcified stenosis of the left common femoral artery. Patient was offered surgery which he declined.