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.
83 year old developed non healing ulcer left foot after occlusion of a known popliteal artery aneursym
The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.