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.
Unusual cause of extremity pain in a diabetic patients
Severe aortoiliac occlusion with rest pain and short distance claudication treated with novel CERAB technique using covered stent grafts.
Short distance claudication and rest pain secondary to thrombosed popliteal artery aneurysm treated endovasculary.