PMC8627342_01
Image of dorsal (a) and ventral (b) views of the left foot in the initial settings with bluish pale area mostly distributed in digits I and II.
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Left inferior extremity assessment revealed a weakened pulsation in her left femoral artery, an absence of distal pulsations, and dry, cold, and pale digits (first to fifth) (Figure 1).
Arteriographic findings of the inferior extremities show that diffuse thrombus was visualized in the left common femoral artery (a) continuing until the superficial femoral artery and distal femoral artery (b). A thrombus appears on left external iliac artery (c). Contrast flow is normal in the right inferior limb (d).
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She then underwent an arteriography (Figure 2) with catheter-directed thrombolysis (CDT).
Image of dorsal (a) and ventral (b) views of the left foot in the six-month follow-up, with significant clearing of cyanotic area.
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At the six-month follow-up, a marked reduction in cyanotic areas was observed throughout the first and second digits, with improved mobility and daily performance (Figure 3).