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This week’s Modern Vascular featured case comes from Dr. Jeffrey Martinez, MD, Board-Certified Vascular Surgeon for Modern Vascular in San Antonio (Lexington Avenue), TX.

Overview

An 87-year-old Hispanic American male was referred with a non-healing left great toe ulcer for over one month. He was initially told by his PCP that given his age his wound would be managed expectantly. He was seen by his podiatrist who referred him to Modern Vascular knowing our abilities to successfully treat patients with minimally invasive techniques. This was despite his customary practice of sending patients to the large peripheral vascular group nearbyn. During the patient’s consultation visit, he admitted to having some claudication symptoms as well but no rest pain. He did have neuropathy. On physical exam, he had a palpable femoral pulse but his pedal pulses were non-palpable. He had an ulcer on the tip of his great toe. His US showed biphasic waveforms in the superficial femoral and popliteal arteries and severe occlusive tibial disease.

Images Pre Intervention

Modern Vascular Case Study Dr. Jeffrey Martinez, Vascular Surgeon in San Antonio Texas
Dr. Martinez San Antonio Case Study

Images Post Intervention

Modern Vascular Case Study Dr. Jeffrey Martinez, Vascular Surgeon in San Antonio Texas
Modern Vascular Case Study Dr. Jeffrey Martinez, Vascular Surgeon in San Antonio Texas

Case Outcome

The patient was treated in a staged fashion. His initial procedure was remarkable for significant SFA and popliteal artery disease. His occlusive tibial disease could not be crossed. The patient’s SFA and popliteal disease were treated with atherectomy and angioplasty with a good result. He was brought back for the staged treatment and both antegrade SFA and retrograde posterior tibial access was performed. His retrograde access was reversed and his posterior tibial sheath was removed. He was then treated in an antegrade fashion successfully through the pedal loop. He returned 2 weeks later with a near completely healed toe wound.

Before

Before Procedure with Dr. Martinez

Pre Treatment

After

After Procedure Dr. Martinez

Post Treatment

Meet the Doctor

Jeffrey Martinez

Dr. Jeffrey Martinez, MD
Board-Certified Vascular Surgeon

Dr. Martinez attended Texas A&M University and received his medical degree from the University of Texas Health Science Center at San Antonio. He completed residency training in general surgery at the University of Texas Health Science Center in San Antonio and performed a vascular fellowship at the University of Tennessee Medical Center in Memphis.

Learn more about Dr. Jeffrey Martinez, MD

Clinic Details

Modern Vascular in San Antonio (Lexington Avenue)

718 Lexington Ave.
San Antonio, TX 78212
(210) 640-7909

Office Hours: 8am - 5pm M-Th, 8am - 4:30pm F CST

Fax: (210) 907-7800

Email: [email protected]