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.
62 year old female with 2 months of short distance claudication and rest pain at night
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.