- Relevant clinical history and physical
examination:
The patient was 68 years old woman. He have been suffered from long-term
(about 37 years) diabetes and lipidemia. About 1 month ago, He injured
his right foot at 4th toe in public bathroom. The foot wound have not
been improved even proper medical therapy. So, he wanted for further evaluation
and proper management. He did not complain any history of intermittent
claudication.
- Relevant test results prior to catheterization:
ABI measurement showed 0.78 on Left leg and 0.77 on Right ankle. The three
dimensional CT angiogram showed diffuse, total occlusion of the posterior
tibial artery and diffuse, tight stenosis on the anterior tibial artery
and peroneal artery.
- Relevant catheterization findings:
Severe restenosis of right posterior tibial artery, anterior tibial artery
and peroneal artery. The proximal portion of arterial system in right
lower limb was relatively healthy. (Figure
1, Figure
2, Figure
3, Figure
4)
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