59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe. Comprehensive workup for an embolic source demonstrated a focal plaque in the popliteal artery. Catheter angiography showed the ulcerated plaque. Directional atherectomy using a SilverHawk atherectomy device was performed. Patients symptoms resolved and at last follow up 2 years later, the patient had no recurrence.
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.
87 year old with severe left leg claudication limiting ability to walk more than 100 feet