Decrease blood flow to foot causing gangrene in chronic kidney failure patient where normal contrast cannot be used, hence Carbondioxied angiography and angioplasty.
  • 64year old gentle man with left second toe gangrene and foot abscess since 3 month
  • Known case of Diabetic/blood pressure/chronic kidney failure/ heart disease
  • Creatinine 3.6 (kidney failure), EF = 35% (heart failure)
  • No 100% blood flow on right leg therefore wound not healing
Carbondioxied Angiography
Right Leg Artery Blockage
Extensive Blocks in Below Knee Arteries
Below Knee and Thigh Artery Angioplasty (Balloon Dilation)
Pelvic Artery Angioplasty
Wound Management

At first instant 5 doctors consulted in 4 month advised removal of leg above knee i.e above knee amputation due to raised creatinine ( kidney failure) angiography cannot be done and heart failure as threat to life. 5 months time lost lead to spread of infection to all finger and mid foot. But we are glad could save the heel and today patient is walking and is self dependable taking care of himself.