This week’s Modern Vascular featured case comes from Dr. Kent Hootman, Vascular & Interventional Radiologist for Modern Vascular in Albuquerque, NM.

Featured Case Overview

44-year-old male, diabetic with hypertension and hyperlipidemia who quit smoking one year prior to suffering a stroke. He initially presented to Modern Vascular in October of 2019 with a gangrenous right 5th toe. Initial angiography confirmed severe multi-segment PAD and he underwent maximal intervention, but, the gangrene progressed requiring a trans-metatarsal amputation and the post-operative wound dehisced early. He returned to Modern Vascular and underwent staged re-intervention in December of 2019 with early wound improvement. Unfortunately, the wound re-opened in April of 2020 at which point he was re-intervened upon with atherectomy of the fem-pop segment and TPT with placement of a drug-eluting stent in the distal SFA. This supplied single vessel run-off via the peroneal artery to an occluded pedal loop which could not be crossed.

Dr. Hootman brought him back for a second intervention and created an intentional deep venous arterialization between the medial plantar artery and vein with outflow via the posterior tibial vein using Rotablator atherectomy and aggressive venous outflow angioplasty. He also received concomitant transcutaneous low-level laser therapy from his podiatrist during follow-up and the wound was nearly closed and dry 3 weeks later.

Angiograms

Peripheral ARtery Disease Pre Procedure

Pre-Procedure

Post Procedure

Post-Procedure

Progression of would healing

Right foot december 2019

Right Foot 12/2019

April 2020

Right Foot 04/2020

May 2020

Right Foot 05/2020

Wound Healing June

Right Foot 06/2020

Healed Wound

Right Foot 09/2020

Meet the Doctor

Dr. Kent Hootman, Vascular Interventional Radiologist at Modern Vascular in Albuquerque, NM, peripheral artery disease specialist

Dr. Kent Hootman
Vascular & Interventional Radiologist

Kent Hootman MD is an interventional radiologist and the managing physician for Modern Vascular of Albuquerque, New Mexico. He has been treating peripheral arterial disease for more than 20 years.

Learn more about Dr. Kent Hootman

Dr. Kent Hootman Modern Vascular Clinic

Modern Vascular of Albuquerque

7800 Constitution Ave. NE
Albuquerque, NM 87110

Office Hours: 7am-5pm MST

Phone: (505) 278-9160

Fax: (505) 278-9170

Email: [email protected]