65 year old male, T3a prostate cancer. Underwent robotic lymph node dissection for staging. Post operative lymphocele developed along the left external iliac vein. Percutaneous drainage decompressed the fluid collect and improved the leg swelling. Collection re-occurred and the leg swelling worsened with severe pain. Venography and intravascular ultrasound (IVUS) showed severe narrowing of the external iliac vein. Stenting and venoplasty of the external iliac vein was performed with complete resolution of the leg swelling and pain.
22 year old with severe post thrombotic syndrome 6 months after left leg deep venous thrombosis (DVT).
86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia