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.
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.
30 year old female, on oral contraceptives, with severe left leg swelling after a long car ride. Ultrasound showed left iliofemoral DVT.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia