82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture. No pulses in the foot but they could "heard" with doppler. Told to stay off their feet until the ulcer healed. CT angiography shows severe multilevel peripheral artery disease. A simple inflow endovascular procedure restored enough blood flow to achieve healing.
59 year old male with short distance exercise induced left leg pain. Pain was severe and was interfering with the patients actively living.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
Asymptomatic slowly enlarging internal iliac artery aneurysm