46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle. Angiography shows occlusion of the distal dorsalis pedis artery and of the distal lateral plantar artery. The deep plantar artery and plantar arch were reconstructed and the wounds healed.
104 year old female with worsening left foot rest pain
46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia