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.
Painful varicoceles interfering with high school athletics
62 year old female with 2 months of short distance claudication and rest pain at night
83 year old developed non healing ulcer left foot after occlusion of a known popliteal artery aneursym