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.
65 year old cyclist with extensive superficial and deep venous incompetence and venous ulceration
62 year old female suffering for 30 years with pelvic venous congestion
Percutaneous bypass graft for severe critical limb ischemia