Dr. Sobolvesky: 60 Year Old Male
Featured Case Overview
60 year old black male with poorly controlled diabetes status pre left trans-metatarsal amputation 3 years ago. The patient had complaints of severe cramping in his left calf waking him up 3-4 times every night. The pain was alleviated by placing the left foot in dependent position.
Angiography of the left lower extremity demonstrated a complete occlusion of the left anterior tibial artery, the proximal left dorsalis pedis artery, as well as severe stenosis involving the proximal and distal left posterior tibial artery, common plantar artery, lateral plantar artery, and plantar arch.
The procedures performed were re-canalization, angioplasty, stenting of the occluded left anterior tibial artery, as well as atherectomy and angioplasty of the left posterior tibial artery, common plantar artery, and lateral plantar artery. Aangioplasty of the plantar arch was also performed resulting in complete reconstruction of the left pedal loop.
Post procedure: the cramping pain in the left calf was completely resolved without residual symptoms.
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