104 year old female, treated 3 years earlier for critical limb ischemia of the right foot. Now presents with a 2 month history of worsening left foot rest pain. Unable to sleep for more than 2 hours. She lives independently with her 84 year old daughter.
The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.
61 year old male, diabetic, developed a lateral right foot ulcer after a pedicure. The posterior tibial artery pulse was palpable.