Rapid progression of common femoral artery stenosis leading to development of ischemic foot ulcer following repeated ipsilateral arterial access.
Common femoral artery stenosis is well appreciated in patients with peripheral arterial disease, but not described following repeated arterial access. We present a case of progressive right common femoral artery stenosis resulting in resting leg ischemia and ulceration that was temporally related to multiple ipsilateral vascular access procedures for recurrent coronary and peripheral diagnostic and therapeutic procedures. We hypothesize that recurrent arterial injury in a setting of diabetes resulted in progressive critical common femoral artery stenosis.
Guillinta
Paulo
P
Division of Cardiology, University of California, San Diego, La Jolla, California 92093-0682, USA.
Waltman
Thomas
T
Tsimikas
Sotirios
S
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects; D017023:Coronary Angiography / Q000009:adverse effects / Q000295:instrumentation*; D017809:Fatal Outcome; D005263:Femoral Artery; D005500:Follow-Up Studies; D016523:Foot Ulcer / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D015607:Stents