62 year old male, heavy smoker, with a long history of leg pain with exertion. Under went spinal fusion with no improvement in symptoms. Exercise ABI's demonstrated severe peripheral arterial disease. CT angiography showed occlusion of the infra renal abdominal aorta, bilateral common iliac arteries, left external iliac artery and severe disease of the right external iliac artery. Recanalization was difficult and ultimately accomplished using a sharp reentry technqiue with a Chiba needle into the abdominal aorta. Covered endografts were used to treat the patient. ABI's were normalized post procedure.
30 year old female, on oral contraceptives, with severe left leg swelling after a long car ride. Ultrasound showed left iliofemoral DVT.
Review of the clinical findings and their usefulness in identifying patients with peripheral arterial disease
59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe.