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.
All authors: Sriya Avadhami, MD; Serdar Farhan, MD; Peter Faries, MD; and Prakash Krishan, MD.
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