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.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion
59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe.