75 year old male, prior right leg bypass graft from the common femoral artery to the anterior tibial artery. Bypass graft failed due to poor outflow in the anterior tibial artery. During thrombolysis the patient had a large retroperitoneal bleed. Treatment was stopped and the patient was told there were no other options. The patient came with rest pain at night, digital ulcerations, and 15 foot claudication. An initial attempt using a traditional approach to recanalization of the superficial femoral and poplieteal arteries failed. A second attempt at revascularization using the femoral and popliteal veins as a route to create a percutaneous bypass graft from the common femoral artery to the popliteal artery was successful.
86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.
30 year old female, on oral contraceptives, with severe left leg swelling after a long car ride. Ultrasound showed left iliofemoral DVT.