Albert Chun Fairfax Case Study

Featured Case
Dr. Hannallah: 68 Year Old Female

This week’s Modern Vascular featured case comes from Dr. Jack Hannallah, Vascular Interventional Radiologist for Modern Vascular in Tucson, AZ.

Featured Case Overview

68-year-old female presented with chronic non-healing lower extremity wounds. She has a medical history significant for insulin dependent type 2 diabetes mellitus, hypertension, hyperlipidemia, morbid obesity (BMI 31.5), and chronic renal failure. The patient was referred for evaluation of a chronic shallow ulcer about the right lateral ankle measuring 4 x 3.5 x 0.5 cm succumbing to repeated infections and failed healing for more than 1 year despite diligent wound care and debridement. Initially diagnosed and treated as a venous stasis ulcer but due to the persistent non-healing an arterial component was suspected. Distal pulses were non-palpable and monophasic on Doppler. Interestingly, this ulcer had a mixed venous and arterial component.

Initial Wound & Diagnostic Angiogram

Final Angiogram
60% stenosis of distal ATA / 90-99% stenosis of DPA & loop

Intervention: Rotablator atherectomy & balloon angioplasty

Rotoblator atherectom and balloon angioplasty
Angiogram of foot

Final Angiogram

Featured Case Modern Vascular in Tucson, Dr. Jack Hannallah

Clinical follow-up 1 month / 2 months

Clinical follow up 1month / 2months

Meet the Doctor

Dr. Jack Hannallah, Vascular Interventional Radiologist at Modern Vascular in Tucson, AZ, peripheral artery disease specialist

Dr. Jack Hannallah
Vascular Interventional Radiologist

Dr. Jack Hannallah, MD, MBA, MPH is bringing state of the art vascular and interventional care to the Southern Arizona community. Dr. Hannallah is fellowship trained in all aspects of vascular and oncologic interventional radiology, with specialized interest in lower extremity vascular revascularization.

Learn more about Dr. Jack Hannallah

Dr. Jack Hannallah Modern Vascular Clinic