22 year old with severe post thrombotic syndrome 6 months after left leg deep venous thrombosis (DVT). Initial attempt at catheter directed thrombolysis without iliac vein stenting resulted in re-thrombosis. The patient had severe restriction in activity due to venous claudication and he wanted to see if anything could be done. He underwent stenting and venoplasty of the left common and external iliac veins. There was marked improvement in leg swelling and leg pain. However, the changes from the original DVT in the femoral and popliteal veins have left him with persistent swelling and discomfort.
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.