71 year old female with a non healing ulcer on the left foot. Previously had a femoral to popliteal artery vein bypass graft which had occluded and was not salvageable. In addition, the patient had end stage renal disease but was not on dialysis. The long superficial femoral artery occlusion was crossed in the subintimal space. Reentry in to the popliteal artery required use of an outback catheter. Treatment with a convered endoprosthesis (Gore Viabhaun) was performed.
64 year old male, type 1 diabetes, with a prior femoral to politeal bypass graft and a subsequent poplileal to tibial bypass graft.
Painful varicoceles interfering with high school athletics
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.