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.
64 year old male, type 1 diabetes, with a prior femoral to politeal bypass graft and a subsequent poplileal to tibial bypass graft.
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.
The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion