Angioplasty in the elderly

A 90-year-old woman with type 2 diabetes of 20 years' duration developed a small painful ulcer on the lateral border of her right heel (Fig. 4.19). The foot was pulseless with a pressure index of 0.5. Pain kept her awake at night. She underwent angioplasty of a short stenosis of the

Fig. 4.19 This small painful ischaemic ulcer on the heel of a 90-year-old woman healed in 9 weeks following angioplasty.

superficial femoral artery, the pain improved and the foot healed in 9 weeks.

Key points

• Advanced age is not a contraindication for angioplasty

• Patients with rest pain should be referred for vascular assessment without delay.

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