Case Type: Peripheral arterial interventions.

The largest set in the archive — limb-salvage, chronic occlusion recanalization, and complex revascularization work performed at MedRad Clinics.

Combining atherectomy and angioplasty to heal diabetic foot ulcer

Diabetic foot ulcers are frequently difficult to treat for a number of reasons: diminished ability of the body to fight infections and heal; polymicrobial colonization of wounds; poor glycemic control; neuropathy and vasculopathy. Vasculopathy occurs at visible and occult levels and is a frequent reason for lost tissue in limbs and ultimately limb amputation. Primary […]

Re-opening total left SFA obstruction

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 in […]

Left subclavian-vertebral steal syndrome

Key: LVA, left vertebral artery; LSCA, left subclavian artery; LCCA, left common carotid artery; LIMA, left internal mammary artery. The vertebral artery is the first branch of the subclavian artery and supplies the hindbrain, while the internal mammary artery is its second branch and courses behind the anterior chest wall to anastomose with the ipsilateral […]

Re-opening a thrombosed left femoropopliteal bypass graft

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 faint shadow of […]

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

  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 […]