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.
Endovascular repair of an anastomic stenosis of a aortobifemoral bypass graft using JetStream atherectomy
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
62 year old female suffering for 30 years with pelvic venous congestion