67 year old male, ype1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation. Although toe amputation sounds simple it leads to biomechanical changes in the foot which can cause progressive deterioration and further more significant amputations. Angiography showed the severe stenosis in the plantar arch. The plantar arch was incomplete with no connection between the medial and lateral plantar arteries. This predisposes the toes to ischemia. Additionally, the dorsalis pedis artery was occluded in the distal foot. Simple angioplasty of the pedal arch via the lateral plantar artery resulted in healing of the toe ulcer.
Painful varicoceles interfering with high school athletics
The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion
87 year old male with a right groin pseudoaneurysm due to the dehisences of the fabric of an aorto bifemoral bypass graft