94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout. The clinical findings of critical limb ischemia - dry scaly skin, nail changes, absent pulses and a punched out ulcer on the 2nd toe - were ignored. Popliteal artery occlusion treated with atherectomy.
Presentation at Charring Cross Meeting London 2015
64 year old female with severe short distance claudication limiting the patients ability to work
Percutaneous bypass graft for severe critical limb ischemia