PMC5672999_01
Picture of right leg showing venous ulceration secondary to occlusion in popliteal-femoral venous segment.
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On the right leg, venous disease appeared to have progressed further, presenting as an active ulcer, corresponding to a CEAP classification score of 6 (Figure 1).
Pre-procedure scan showing the femoral vein and the collateral (black arrow: femoral vein; white arrow: collateral).
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Tumero wire and support catheter were passed across the scarred stenotic segment (Figure 2). There were no functional valves in the diseased segment.
Post-venoplasty venogram following balloon dilatation of popliteal-femoral venous segment.
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This was undertaken at 24 atmospheres with no residual wasting of the balloon (Figure 3).
Approximately 10 weeks post procedure, leg shows that the venous leg ulcer has healed and the surrounding skin is less inflamed.
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Less than a month after this follow-up, the patient returned, and upon additional examination, the ulcer had completely healed (Figure 4).