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Figure 2 (A) Sixty-year-old diabetic woman. Note the deep, broad-based nonhealing foot ulcer. Despite five months of conservative therapy, the ankle brachial index was 0.42 with a toe pressure of 25 mm Hg. Before vascular intervention she underwent coronary bypass for left main three-vessel coronary disease. (B) Three months after primary stent-supported intervention, aspirin, and clopidogrel, the ulceration demonstrates complete healing that has been maintained for three years. (C) Pre-intervention angiogram demonstrating complete occlusion of the posterior tibial and peroneal arteries and a long subtotal occlusion (solid arrows), of the anterior tibial artery. (D) Post-intervention angiogram after placement of two balloon-expandable coronary Hepacoat (Cordis) stents. One-month resting ankle brachial index normalized to 0.98.
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