79 year old female with non healing ulcers. Occlusion of all three arteries in the calf. Antegrade attempt at opening the anterior tibial artery failed. Retrograde crossing from the distal anterior tibial artery was successful. Treated with orbital atherectomy and angiograplasty. Ulcers healed in under 4 weeks. Entire procedure done in 75 minutes. Patients entire stay was under 4 hours.
86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.
Sharp recanailziation of a heavily calcified SFA occlusion
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.