The patient was initially seen for ischemic ulceration of right foot toe ulcers and was found to have 2 left popliteal artery aneurysms. The patient declined treatment of the aneurysms at that time. 18 months later the aneurysms occluded and the patient developed ulcerations of several left toes with rest pain. Revascularizion was performed using a Jetstream atherectomy of the occluded popliteal artery and stenting. Drug eluding stenting of the proximal anterior tibial artery severe stenosis. Ulcer healing occurred and the patient is doing well 21 months later.
The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion
62 year old female suffering for 30 years with pelvic venous congestion