Case Gallery

Disabling left foot pain from left SFA disease | Ken Ekechukwu, MD, MPH, FACP

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  These images belong to a 48-year-old woman with insulin-requiring type 2 diabetes and long history of heavy cigarette smoking, who was referred to my interventional radiology clinic because of new pain in her left foot that substantially limited her life style, associated with color change. Her diabetes was uncontrolled and the pain seemed neuropathic […]

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Thrombosis of a left femoropopliteal bypass. | Ken Ekechukwu, MD, MPH, FACP

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Key to images: Top panel: Pre-intervention run-off angiogram of the left lower extremity showing, from left to right, irregular left common femoral artery (LCFA) arrowed on the 1st image, absent left superfical femoral artery (LSFA) or any bypass conduit on the 2nd image, sketchy descending collaterals from the left deep femoral (LDFA) that reconstitute a […]

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Endovascular restoration of blood flow across total occlusions of the distal aorta and bilateral iliac channels. Ken U. Ekechukwu, MD, MPH, FACP.

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This 41-year-old woman smoked for a long time and developed severe bilateral calf cramping after short walks. Investigation revealed that she had completely occluded her distal abdominal aorta and her right and left iliac arteries, severely restricting the flow of blood into her lower limbs. She was unwilling to have surgery and came to me […]

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Simultaneous stenting of ostial stenosis of the common iliac arteries. Ken U. Ekechukwu, MD, MPH, FACP.

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Smoking, dyslipidemias (disorders of lipids such as hypercholesterolemia), hypertension, and diabetes, individually and severally, may narrow or occlude arteries in all parts of the body. Amongst arteries that may suffer are the ones that carry blood from the abdominal aorta (the large artery that carries blood from the heart across the abdomen towards the lower […]

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Treating arterial pseudoaneurysm by percutaneous injection of soluble thrombin. Ken U. Ekechukwu, MD, MPH, FACP.

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An arterial pseudoaneurysm is a false sac that develops adjacent to an artery under its pulsatile influence, often after trauma to the artery. This includes arterial punctures. The wall of a pseudoaneurysm is not true (which is why it is called a false (or pseudo) aneurysm), being comprised of blood clot and compressed tissue, which […]

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