Traditionally, gonadal vein embolization is done by placing coils 10-20% over sized compared to the target vein. Often 10 or more coils are required to treat a single vein. Each coil only treats a short segment of vein leaving other segments open. The "uncoil coil" technique utilizes large diameter longer coils allowing a gonadal vein to be treated with 2-3 coils. The procedure is faster, exposes the patient to less radiation and reduces the risk of maldeployment and migration.
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.
Short distance claudication and rest pain secondary to thrombosed popliteal artery aneurysm treated endovasculary.
Unusual cause of extremity pain in a diabetic patients