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.
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.
104 year old female with worsening left foot rest pain
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.