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.
Presentation at Charring Cross Meeting London 2015
65 year old cyclist with extensive superficial and deep venous incompetence and venous ulceration