Physical findings of our patient:
Pale and cool left foot, no ulceration.
No palpable pulses on the left limb.
On the right, palpable femoral pulse, no popliteal or distal pulses.
ESVS 2nd Masterclass 2020: Vascular guidelines for the management of CLTI
Supplementary Material: Full Video
Global vascular guidelines on the management of CLTI page 21-25
ABI at rest: 0.4 on the left side; 0.9 on the right side
ABI after walking test: 0.1 on the left side; 0.7 on the right side
Toe pressure: 35 mmHg on the left side; 80 mmHg on the right side
Duplex ultrasound: Left side: non-conclusive for the common iliac artery due to poor visualization because of abdominal gas, no flow in the external iliac artery;
>70% stenosis of the common femoral artery and the origin of the profunda,
Small diameter (4-5 mm) of the femoropopliteal segment without significant stenosis
The crural arteries could not be assessed
