Physician: Dr. Sirvent
62 years old male.
Risk factors: hypertension, diabetes mellitus II, hyperlipidaemia, former smoker.
Medical history: above the knee amputation right leg due to gangrene.
Actual complaints: dry gangrene in 2, 3, 4, 5 toes of the left leg. ABI 0’29.
Percutaneous intervention 14.01.2014
Anticoagulation: aspirin, clopidogrel and heparine.
5F short sheath antegrade approach.
Predilatation with 3 mm balloon P1-P2 and 2 mm balloon posterior tibial and peroneal arteries.
Treatment with different Legflow balloons at nominal pressure (4x40 mm in popliteal segment and 3mm in peroneal and posterior tibial arteries).
TMT amputation of his left foot.
Successful recanalization. Post intervention there was no residual significant stenosis. No complications.
20 months: Asymptomatic. TMT amputation of his left foot completely healed (2-3 weeks after intervention). Since then no new ulcers. No adverse events. Posterior tibial pulse present. ABI 1’03.