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.
64 year old female with severe short distance claudication limiting the patients ability to work
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.