87 year old male with a 1 month history of an enlarging pulsatile right groin mass. 15 years prior the patient had an aorto bifemoral bypass graft placed for iliac artery occlusive disease and claudication. The patient did not want the open surgical repair that was offered. I performed an endovascular repair in 45 minutes. The advantages of an endovascular approach versus an open surgical procedure are clear - safer, faster recovery, no general anesthesia, almost no risk of infection and no large groin incision.
Review of the clinical findings and their usefulness in identifying patients with peripheral arterial disease
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.
Iliac vein compression may cause pelvic venous congestion.