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.
104 year old female with worsening left foot rest pain
65 year old cyclist with extensive superficial and deep venous incompetence and venous ulceration
38 year old female with severe post thrombotic syndrome and severe venous ulceration for 8 years