101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot. CT Angiography showed multilevel peripheral arterial disease. No physiologic testing was done. Patient told the pain was due to an ingrown toe nail and sent home on narcotics. The patient went to podiatry and was correctly diagnosed as having critical limb ischemia.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
62 year old female suffering for 30 years with pelvic venous congestion
Sharp recanailziation of a heavily calcified SFA occlusion