30 year old female, on oral contraceptives, with severe left leg swelling after a long car ride. Ultrasound showed left iliofemoral deep venous thrombosis (DVT). Patient was started on anticoagulation. 5 days later, still having severe swelling and pain. Pharmacomechanical thrombolysis using TPA and the angiojet was performed with removal of the bulk of the thrombus. Stenting and venoplasty of the compression of the left common iliac vein was then performed. Patient had complete relief of symptoms nearly immediately and continues to do well 3 years later. No problems of post thrombotic syndrome.
Short distance claudication and rest pain secondary to thrombosed popliteal artery aneurysm treated endovasculary.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.