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BMJ Case Reports 2017; doi:10.1136/bcr-2017-220633
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External revascularisation for pseudochronic total occlusion of the dorsal pedis artery due to foot drop with severe diabetes mellitus

  1. Minoru Shimizu
  1. Heart Center, Kasukabe Chuo General Hospital, Saitama, Japan
  1. Correspondence to Dr Nakabayashi Keisuke, keisuke2018{at}gmail.com
  • Accepted 19 June 2017
  • Published 14 July 2017

Description

A 45-year-old woman with end-stage renal disease and severe diabetes mellitus (haemoglobin A1c (HbA1c) 9.5%) suffered from critical limb ischaemia (CLI). Her right ankle brachial pressure index (ABPI) was 0.77; however, her left ABPI was immeasurable with flat waveform. Additionally, skin perfusion pressure was 34 mm Hg on the left dorsal and 22 mm Hg on the left planter. The angiography showed chronic total occlusion (CTO) of the dorsal pedis artery (DPA) (figure 1, left panel). We electively performed endovascular therapy. The soft wire smoothly passed the CTO of the DPA. We dilated …

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