case_images: PMC9927001_01
case_images: Local examination of the right foot revealed mild edema and erythema and blackish discoloration of the first and fourth toes.
case_images: fsurg-10-1092287-g001.jpg
case_images: PMC9927001_01_fsurg-10-1092287-g001.jpg
case_images: F1
case_images: Local examination of the right foot revealed mild edema and erythema, blackish discoloration of the first and fourth toes, and severe tenderness on palpation (Figure 1).
case_images: CTA of the lower limbs axial view showed right single-vessel posterior tibial artery runoff.
case_images: fsurg-10-1092287-g002.jpg
case_images: PMC9927001_01_fsurg-10-1092287-g002.jpg
case_images: F2
case_images: (A and B). (A) Baseline angiography shows total occlusion from the mid-anterior tibial artery to the dorsalis pedis artery, and total occlusion of the distal posterior tibial and mid-peroneal arteries. (B) Resolution of blood flow after intra-arterial infusion of alteplase in the anterior tibial and posterior tibial arteries.
case_images: fsurg-10-1092287-g003.jpg
case_images: PMC9927001_01_fsurg-10-1092287-g003.jpg
case_images: F3
case_images: A completion angiography revealed a patent popliteal artery with a 2-vessels patency to the foot (Figure 3A,B).
case_images: (A, B, and C): right lower limb arterial duplex ultrasound showed patent (A) right popliteal artery, (B) distal anterior tibial artery, (C) and posterior tibial artery.
case_images: fsurg-10-1092287-g004.jpg
case_images: PMC9927001_01_fsurg-10-1092287-g004.jpg
case_images: F4
case_images: A follow-up lower limb arterial duplex ultrasound after 3 months showed patent right popliteal, distal anterior tibial, and posterior tibial arteries (Figure 4A-C).