67 year old male, ype1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation. Although toe amputation sounds simple it leads to biomechanical changes in the foot which can cause progressive deterioration and further more significant amputations. Angiography showed the severe stenosis in the plantar arch. The plantar arch was incomplete with no connection between the medial and lateral plantar arteries. This predisposes the toes to ischemia. Additionally, the dorsalis pedis artery was occluded in the distal foot. Simple angioplasty of the pedal arch via the lateral plantar artery resulted in healing of the toe ulcer.
Renal vein stent placed for Nutracker Syndrome was placed too far into the IVC and causing pain. Stent was partially removed.
Iliac vein compression may cause pelvic venous congestion.
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.