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

Before

After

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

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

Novel therapies for diabetic foot problmes our success story of complex diabetic foot ulcer treted at our centre-1 (6)

Open surgery for gangrene and PVD and leg ulcer

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