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Critical Limb Ischemia

Critical Limb IschemiaThe Front Line for Critical Limb Ischemia

State of the art endovascular revascularization for critical limb ischemia

Peripheral Arterial DiseaseAntegrade Superficial Femoral Artery Access

Antegrade superficial femoral artery access is safe and offers significant advantages or traditional common femoral artery access.

Critical Limb IschemiaPedal Loop Revascularization: Experience Matters

Pedal loop revascularization procedures are the last resort for patients with no other options for saving their limb.

Critical Limb IschemiaEndovascular First: Better outcomes compared to open bypass for patients with critical limb ischemia

This paper uses data from the Vascular Quality Initiative (VQI) database to compare outcomes in patients undergoing a below the...

Critical Limb IschemiaAn Endovascular-First Approach to the Treatment of Critical Limb Ischemia Results in Superior Limb Salvage Rates

Increasing evidence supports an endovascular first approach to patients with critical limb ischemia.

Critical Limb IschemiaExperts and Centers of Excellence

Globally we are seeing an aging population with an increasing prevalence of diabetes and metabolic syndrome.

Critical Limb Ischemia Critical Limb Ischemia: Time Matters

Patients with foot ulceration, and especially those with diabetes, are at an increased risk of amputation.

Critical Limb IschemiaTackling the PAD Knowledge Gap

Peripheral arterial disease (PAD) has been a largely under recognized and under studied problem despite its significant impact on...

ClaudicationCERAB Technique for AortoIliac Reconstruction

Severe aortoiliac occlusion with rest pain and short distance claudication treated with novel CERAB technique using covered stent grafts.

Critical Limb IschemiaChiba Needle Sharp Recanalization for CLI

Sharp recanailziation of a heavily calcified SFA occlusion

ClaudicationSharp Recanalization of Thrombosed Popliteal Artery Aneurysms for Claudication and Rest Pain

Short distance claudication and rest pain secondary to thrombosed popliteal artery aneurysm treated endovasculary.

Critical Limb IschemiaNon healing ulcer with normal skin perfusion pressures

Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia

Critical Limb IschemiaRest pain in a 104 year old female

104 year old female with worsening left foot rest pain

Critical Limb IschemiaPercutaneous bypass graft for severe critical limb ischemia

Percutaneous bypass graft for severe critical limb ischemia

Critical Limb IschemiaWire fragment retrieval from the dorsalis pedis artery

The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion

Critical Limb IschemiaOccluded popliteal artery aneurysms with non healing ulcer

83 year old developed non healing ulcer left foot after occlusion of a known popliteal artery aneursym

Peripheral Arterial DiseaseClinical evalulation of peripheral arterial disease

Review of the clinical findings and their usefulness in identifying patients with peripheral arterial disease

Critical Limb IschemiaPain misdiagnosed as in grown toe nail

101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot.

Critical Limb IschemiaAnte/retrograde recanalization occluded ATA for CLI

79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.

Critical Limb IschemiaPedal Loop Reconstruction

46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.

AtheroembolismPurple Toe from Ulcerated Popliteal Artery Plaque

59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe.

Critical Limb IschemiaNeuroischemic ulcer from distal PTA and LPA stenosis

61 year old male, diabetic, developed a lateral right foot ulcer after a pedicure. The posterior tibial artery pulse was palpable.

Critical Limb IschemiaCritical limb ischemia, failed bypass graft

64 year old male, type 1 diabetes, with a prior femoral to politeal bypass graft and a subsequent poplileal to tibial bypass graft.

Critical Limb IschemiaPlantar arch angioplasty to prevent toe amputation

67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.

Critical Limb IschemiaHeel ulcer during rehabilitation after fracture of the femur

82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.

Leg & Foot Ulcers Gangrene right foot after failed open and endovascular procedures

83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.

Critical Limb IschemiaPainful lateral malleorar ulcer

86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.

Critical Limb IschemiaCritical limb ischemia misdiagnosed as gout

94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.

Critical Limb IschemiaSFA Recanalization and viabhaun stenting after failed bypass graft

71 year old female with a non healing ulcer on the left foot.

Leg & Foot UlcersVascular Evaluation in Patients with Lower Extremity Ulceration

Arterial and Venous testing in patients with lower extremity ulcers

AtheroembolismCholesterol embolization after lower extremity revascularization

Cholesterol embolization is an infrequent sequelae after lower extremity revascularization.

Critical Limb IschemiaReperfusion Syndrome and Critical Limb Ischemia

Reperfusion syndrome and inury can occur after revascularization in patients with critical limb ischemia but the entity is poorly understood

Critical Limb IschemiaUnderstanding Critical Limb Ischemia

Critical Limb Ischemia (CLI) is a severe blockage of the arteries which markedly reduces blood flow to feet.

Critical Limb IschemiaSpectrum of Diabetic Foot Ulceration

Diabetic Foot Ulceration (DFU) is one of the most severe consequences of diabetes.

Leg & Foot UlcersFoot Ulcers: Spectrum of Ischemia

Ulcers (wounds) involving the feet and toes are most commonly seen in diabetic patients and are commonly called diabetic foot ulcers (DFUs).