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.
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.
64 year old male, type 1 diabetes, with a prior femoral to politeal bypass graft and a subsequent poplileal to tibial bypass graft.
46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.