59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe. Comprehensive workup for an embolic source demonstrated a focal plaque in the popliteal artery. Catheter angiography showed the ulcerated plaque. Directional atherectomy using a SilverHawk atherectomy device was performed. Patients symptoms resolved and at last follow up 2 years later, the patient had no recurrence.
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.
Presentation at Charring Cross Meeting London 2015
59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe.