71 year old female with a non healing ulcer on the left foot. Previously had a femoral to popliteal artery vein bypass graft which had occluded and was not salvageable. In addition, the patient had end stage renal disease but was not on dialysis. The long superficial femoral artery occlusion was crossed in the subintimal space. Reentry in to the popliteal artery required use of an outback catheter. Treatment with a convered endoprosthesis (Gore Viabhaun) was performed.
Endovascular repair of an anastomic stenosis of a aortobifemoral bypass graft using JetStream atherectomy
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.
51 year old female with a long history of low back pain, pelvic aching and heaviness, urinary frequency and painful intercourse.