Critical Limb Ischemia

A 58- year old male with insulin dependent diabetes, hypertension, dyslipidemia, glaucoma, benign prostatic hyperplasia, gastroesophageal reflux disease, end stage renal disease, s/p kidney transplant, with bilateral PAD/CLI L>R. He underwent angioplasty of left PT, AT, but hallux gangrene progressed to forefoot gangrene with worsening rest pain. Patient underwent non-invasive diagnostic testing and angiograms; pedal loop recanalization was attempted without success. Percutaneous DVA was preformed with venous duplex showing no DVT. Procedure was deemed successful and patient was discharged after 4th day of hospital stay. Follow up care showed no rest pain with well demarcated gangrene and patent stent grafts.

Watch case presentation

View Commentary

Download PowerPoint

All Authors: Abdullah M. Abdullah, MD (Case Author) and Mitul Patel, MD FSCAI (Commentary Author).

Other Specialist Resources for Peripheral Vascular Disease

Including recently published studies, coverage of late-breaking science, updates from clinical trials and registries, and complex case presentations.

Clinical Interest Article

A Safety and Feasibility Single-Arm Study of a Novel Catheter Thrombectomy Device for the Treatment of Pulmonary Embolism (ENGULF)—Coverage of SCAI Scientific Sessions 2024

Clinical Interest Article

Rapid Takeaways From Late-Breaking Science at SCAI Scientific Sessions 2024

Clinical Interest Article

A Novel Angiographic Scoring System Predicting Side Branch Occlusion for Left Main Bifurcation PCI: The LM V-RESOLVE Score—Coverage of SCAI Scientific Sessions 2024

Clinical Interest Article

Revascularization Strategies in Patients With Peripheral Arterial Disease Involving the Femoropopliteal Arteries: A Pooled Analysis of Individual Patient Data—Coverage of SCAI Scientific Sessions 2024

Clinical Interest Article

Ultrasound-Assisted versus Standard Catheter-Directed Thrombolysis for Acute Pulmonary Embolism: Insights From National Inpatient Sample—Coverage of ACC 2024

Clinical Interest Article

Five-Year Durability and Performance Evaluation of an Intra-Annular, Self-Expanding Transcatheter Heart Valve—Coverage of CRT 2024

The five-year durability of the Portico self-expanding valve was addressed at CRT 2024. This study is unique in that there wa...

Integrated Search Topics

Peripheral

Cases

SCAI^® is a registered trademark of the Society for Cardiovascular Angiography & Interventions.

All content found on the Society for Cardiovascular Angiography & Interventions website (www.scai.org) including text, images, audio, video, or other formats is created for informational purposes only. Links to other content are to be taken at your own risk. SCAI is not responsible for the content or claims of external websites.

Connect