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.
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.
46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.
59 year old male with short distance exercise induced left leg pain. Pain was severe and was interfering with the patients actively living.