82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture. No pulses in the foot but they could "heard" with doppler. Told to stay off their feet until the ulcer healed. CT angiography shows severe multilevel peripheral artery disease. A simple inflow endovascular procedure restored enough blood flow to achieve healing.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
83 year old developed non healing ulcer left foot after occlusion of a known popliteal artery aneursym
Presentation at Charring Cross Meeting London 2015