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.
Presentation at Charring Cross Meeting London 2015
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.
62 year old female suffering for 30 years with pelvic venous congestion