Fig. 12.

As many as possible strategy. a Baseline angiography. Note triple vessel disease in the infrapopliteal artery. b Post first intervention. During the first intervention, multiple stenotic areas in the peroneal artery were treated because it was technically straightforward. c Post second intervention. Since foot microcirculation after the first intervention was insufficient for wound healing (SPP 15 → 30 mmHg on the dorsum, 13 → 15 mmHg on the plantar), a second intervention was attempted. Since the reconstituted vessel in the distal anterior tibial artery became clear, recanalization of the long occlusion in the anterior tibial artery was successful. SPP increased to 52 mmHg on the dorsum and 42 mmHg on the plantar, and the wound healed completely