Figures index

From

Acute Limb Ischemia – Trials of Limb Salvage: A Case Report

Milenis Lopez Leon, Sahar S. Abdelmoneim, Madeleidis Lopez Leon, Hudson Portugal Franca, Sandy Espinosa Hernandez, Dariex Rodriguez, Odalys Frontela

American Journal of Medical Case Reports. 2022, 10(10), 261-267 doi:10.12691/ajmcr-10-10-3
  • Figure 1. Lower extremities showing (A) Right foot with black discoloration, open wound, low pulsation, positive localized tenderness on clinical examination, Wagner’s classification 1 (localized superficial ulcer not extending to bone or ligaments). Schematic distribution of the arterial supply of the foot is also illustrated. Anterior tibial artery supplying whole dorsum of the foot. Plantar aspect of the foot supplied by the medial and lateral plantar artery and the calcaneal artery (B) Left foot is shown for comparison
  • Figure 2. A- Chest Xray shows no cardiopulmonary disease. Sternal sutures of Coronary Artery Bypass are shown and B- Electrocardiogram (ECG) on admission showing normal sinus rhythm
  • Figure 3. Admission baseline angiography showing Stent occlusion of the right superficial femoral artery (SFA). Multi hole Infusion catheter was left in place. Movie file 1. Admission baseline angiography showing Stent occlusion of the right superficial femoral artery (SFA). Multi hole Infusion catheter is shown in place.
  • Figure 4. In hospital course, Post thrombolysis. Lower extremities showing Right foot with persistent poor black discoloration over the right toes with extended mottling color all over the sole of the foot, low pulsation, positive localized tenderness on clinical examinations.
  • Figure 5. A gentle pullback angiogram demonstrates patent superficial femoral artery stents proximal (left image) and distal (right image). Movie file 2 (a and b): A gentle pullback angiogram demonstrates patent superficial femoral artery stents (a) proximal (left image) and (b) distal (right image)
  • Figure 6. From left to right images showing (1) angiogram of popliteal artery occlusion, (2) crossing of the popliteal artery with guide wire, (3) a regular dissection and thrombus and (4) finally last image on the right showing the VIABAHN® stent placements and post dilation using a 5 mm balloon. Movie File 3 (a and b): (a) Angiogram of popliteal artery occlusion, (b) VIABAHN® stent placements and post dilation using a 5 mm balloon.
  • Figure 7. Duplex ultrasonography showing an occluded right superficial femoral artery (SFA) stent without any evidence of flow on color or pulsed wave Doppler