101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot. CT Angiography showed multilevel peripheral arterial disease. No physiologic testing was done. Patient told the pain was due to an ingrown toe nail and sent home on narcotics. The patient went to podiatry and was correctly diagnosed as having critical limb ischemia.
62 year old female with 2 months of short distance claudication and rest pain at night
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.
Percutaneous bypass graft for severe critical limb ischemia