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Ballon Angioplasty Successfully saved a Female Leg from Amputation
2005-11-27

A female Saudi patient 75yrs, presented to the ER by picture of acute on top of chronic Rt. lower limb ischemia. Patient is diabetics and has a history of claudication pain of 10months duration, few hours ago patient experienced acute severe pain at Rt. lower limb associated with coldness and decrease motor power.

On Examination:

Absent all peripheral pulsation at Rt. lower limb with monophasic Doppler flow Coldness and pallor of Rt. foot and leg Urgent MRA was asked for the patient and revealed complete obstruction of Rt. common iliac artery from its beginning So, patient transferred to operating room urgently, where Rt. femoral thrombectomy was done under local anaesthesia, followed by intra-operative angiogram which revealed short segment obstruction at the beginning of Rt. common iliac artery. So, balloon angioplasty successfully dilated this obstruction with regularizing of normal flow at Rt. lower limb arterial tree. Patient passed good post operative period and regaining of Rt. pedal pulsations and patient discharged from hospital in good state, walking on her limbs normally.

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