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.
62 year old female with 2 months of short distance claudication and rest pain at night
87 year old with severe left leg claudication limiting ability to walk more than 100 feet