83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation. The patient had a failed popliteal to dorsalis pedis artery bypass graft. An attempt at endovascular repair also failed. The patient came for a second opinion. A second at endovascular repair was successful. The patient had a transmetarsal amputation which healed. He continued to live on his own for another 4 years, enjoying his life with both legs.
79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.
64 year old female with severe short distance claudication limiting the patients ability to work
86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.