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.
Short distance claudication and rest pain secondary to thrombosed popliteal artery aneurysm treated endovasculary.
104 year old female with worsening left foot rest pain
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.