87 year old male, living independently in a long term facility. Could not walk from his room to the dining hall without stopping twice for severe left leg pain. Would 15 minutes to walk one block. Treated with atherectomy and angioplasty. Was able to walk out from the procedure to his car with no leg pain. No limitations in walking for the last 2 years at last follow up visit.
65 year old cyclist with extensive superficial and deep venous incompetence and venous ulceration
86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.