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.
Percutaneous bypass graft for severe critical limb ischemia
64 year old female with severe short distance claudication limiting the patients ability to work
Presentation at Charring Cross Meeting London 2015