79 year old female with non healing ulcers. Occlusion of all three arteries in the calf. Antegrade attempt at opening the anterior tibial artery failed. Retrograde crossing from the distal anterior tibial artery was successful. Treated with orbital atherectomy and angiograplasty. Ulcers healed in under 4 weeks. Entire procedure done in 75 minutes. Patients entire stay was under 4 hours.
62 year old female suffering for 30 years with pelvic venous congestion
51 year old female with a long history of low back pain, pelvic aching and heaviness, urinary frequency and painful intercourse.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia