56 year old male, life long smoker, presents with severe bilateral lower extremity claudication. At initial visit, medical management and risk factors were addressed. Trial of management with Pletal failed at 1 month due to side effects. Patient's employment was at risk due to limitations in walking. CT angiography showed left external iliac, common femoral and superficial femoral artery occlusions. Endovascular therapy was performed with angioplasty and stenting the left EIA and JetStream atherectomy of the left CFA. At 31 months the left EIA and CFA remain patent.
79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.
59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe.
The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion