22 year old with a 10 year history of left groin and testicular pain. Underwent embolization about 4 years prior with temporary improvement of symptoms. Only the proximal left testicular vein was embolized. The patient had asymptomatic compression of the left renal vein (Nutcracker Phenomena) leading to the develop of renal vein collaterals to the untreated portion of the the left testicular vein and a recurrent varicocele. Antegrade embolization of the left testicular vein was performed. The patients symptoms resolved and have not reoccurred. There is only one other reported varicocele being treated via this approach.
86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.
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.