64 year old female with a 2 year history of worsening left calf claudication. Pain has become severe enough the patient is having a hard time working and staying employed. CT angiography showed a heavily calcified common femoral artery plaque causing near occlusion of the artery. Retrograde superficial femoral access with directional atherectomy was attempted but limited due to difficulty getting the cutting blade to engage the plaque. Using external compression to assist the atherectomy resulted in significant plaque removal and luminal gain. Patient had normalization of their ABI's and was able to work pain free 2 days after the procedure.
Severe aortoiliac occlusion with rest pain and short distance claudication treated with novel CERAB technique using covered stent grafts.
87 year old male with a right groin pseudoaneurysm due to the dehisences of the fabric of an aorto bifemoral bypass graft
86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.