This week’s Modern Vascular featured case comes from Dr. Stephen Leschak, MD, Board Certified Vascular & Interventional Radiologist for Modern Vascular in Southaven, MS.


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

Distal AT

Dr, Leschak Case Study
Occluded AT, DP ad Incomplete Loop
Angiogram Dr. Leschak

Balloon Angioplasty and AT DP Occlusion

Balloon Angioplasty

Distal AT

AT DP Occlusion
Peripheral Artery Disease Angiogram for Case Study


Toe before procedure

Before Procedure


Toe after procedure

After Procedure

Case Outcome

Successful recanalization of the distal anterior tibial artery, DP, and plantar loop utilizing atherectomy and balloon angioplasty. Photos 2 weeks post revascularization.

Meet the Doctor

Stephen Leschak

Dr. Stephen Leschak, MD
Board Certified Vascular & Interventional Radiologist

Dr. Stephen Leschak comes to Modern Vascular with over 20 years experience and training with fellowships from both Duke University and University of Pittsburgh in both Interventional Radiology and Abdominal Imaging.

Learn more about Dr. Stephen Leschak, MD

Clinic Details

Modern Vascular in Southaven

55 Physicians Ln.
Southaven, MS 38671
(662) 655-2136

Office Hours: 7am-5pm CST

Fax: (662) 996-2214

Email: [email protected]