Success stories of complex cases – Dr. Harshawardhan Oak

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Case of aortic stenosis with both leg ulcers detected to have aortic occlusion treated with aortic stent graft system.

Before

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After

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May Thurner Syndrome

41-year-old male
History of DVT iliofemoral EIV and CFV thrombus 9 years ago
Received anticoagulation for 2 years
History of ulcer since 1 year left gaiters area
MR venogram s/o left CIV stenosis by left CIA and EIV stenosis

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Novel therapies for diabetic foot problems our success story of complex diabetic foot ulcer treated at
our centre

Av malformation our vast experience makes us the best people to treat this complex entity-1

Open surgery for gangrene and PVD and leg ulcer

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One of our patients who had PVD and foot ulcer and was told to do amputation and came to us and after 4 weeks of hard work, we could save his leg from
amputation.

Though it will seem very disturbing to see the pictures of open surgery for patients and relatives of PVD patients it can be fruitful and worthwhile once the leg is saved from amputation and cutting.

Role of open surgery

Lesions in femoral and popliteal arteries and tibial arteries more than 15 cm or – 20cm long semment occlusions -20
Prefer occlusion over angioplasty
Mainly cases where significant tissue loss
Hybrid procedures

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