Featured Case:
Dr. Leschak: 66 Year Old Female

Overview

This was a 66 yr old female with a history of hypertension, obesity, type-two diabetes, neuropathy, and was referred to Modern Vascular for a non-healing right great toe ulcer. The ulcer had been present for 4 weeks. The patient was placed on antibiotics with no significant healing before being referred to Modern Vascular. The patient received a bilateral arterial duplex of the lower extremities. The ultrasound showed monophasic flow in the DP and biphasic flow in the ATA. The patient also received a Toe-Brachial Index (TBI). The results of the TBI were 0.70 R and 0.80 L. Upon physical examination the patient had diminished dorsal pulses and decreased capillary refill. The angiographic findings were the following: occluded AT, DP, and incomplete pedal loop. There were significant stenosis of the SFA that was treated with balloon angioplasty. Ultrasound: Monophasic flow DP Biphasic flow ATA TBI: 0.70 R 0.80 L Physical Findings: Diminished dorsal pulse, decreased capillary refill Angiographic Findings: Occluded AT, DP, and Incomplete Loop. Significant stenosis of SFA, treated with balloon angiography