Dec 10th 2020

Critical Limb Ischemia in a Patient With Popliteal Artery Occlusion

69-year-old male who presented with a left hallux non-healing wound with severe rest pain (WiFI 1,1,0 Rutherford class III/category 5, Fontaine class IV). Non-invasive studies were remarkable for an ABI of 0.71 and arterial duplex suggested an occluded popliteal artery with distal reconstitution and presence of collaterals beyond the occlusion. Following a multidisciplinary discussion of therapeutic options, an endovascular-first revascularization approach for the treatment of critical limb ischemia is described.