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86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus. This area is in the peroneal artery angiosome. Occlusions of the peroneal and posterior tibial artery were treated with orbital atherectomy. Ulcer healed within 1 month.

More Seldinger Files

ClaudicationShort distance claudication treated with atherectomy

59 year old male with short distance exercise induced left leg pain. Pain was severe and was interfering with the patients actively living.

Critical Limb IschemiaNon healing ulcer with normal skin perfusion pressures

Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia