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.
Sharp recanailziation of a heavily calcified SFA occlusion
101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot.
Presentation at Charring Cross Meeting London 2015