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
Balloon Angioplasty and AT DP Occlusion
Successful recanalization of the distal anterior tibial artery, DP, and plantar loop utilizing atherectomy and balloon angioplasty. Photos 2 weeks post revascularization.
Read More Case Studies
Modern Vascular offers a library of case studies authored by doctors at our clinics detailing cases before and after intervention.