The patient was initially seen for ischemic ulceration of right foot toe ulcers and was found to have 2 left popliteal artery aneurysms. The patient declined treatment of the aneurysms at that time. 18 months later the aneurysms occluded and the patient developed ulcerations of several left toes with rest pain. Revascularizion was performed using a Jetstream atherectomy of the occluded popliteal artery and stenting. Drug eluding stenting of the proximal anterior tibial artery severe stenosis. Ulcer healing occurred and the patient is doing well 21 months later.
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.
Unusual cause of extremity pain in a diabetic patients
71 year old female with a non healing ulcer on the left foot.