Ischemic Ulceration

92 year old female with left foot rest pain and worsening ulcers of typical of ischemia. CTA demonstrated severe PAD with heavy calcification in the femoral, popliteal, tibial and pedal arteries with a solid wall of calcium at the adductor canal. These types of lesions are often difficult to cross and often result in a…

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Lateral Malleolus Ulcer

86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus. This area is in the peroneal artery angiosome. Occlusions of the peroneal and posterior tibial artery were treated with orbital atherectomy. Ulcer healed within 1 month.​

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Post Thrombotic Ulcer

A 38-year-old female with deep venous thrombosis 14 years ago while on birth control pills. Second DVT shortly after discontinuing anticoagulation. Hematologic workup showed the patient to have Protein S deficiency. The patient suffered from severe post-thrombotic syndrome, eventually resulting in venous ulceration 8 years ago. The patient suffered from a chronic ulcer that eventually…

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