A 56-year-old male was referred from his family physician for recurring rest pain and ischemic necrosis of his right forefoot. This patient was currently undergoing chemotherapy for bronchial carcinoma. Eight weeks prior to appearing at our center, this patient had undergone manual aspiration and femoro-popliteal nitinol stent placement for acute-on-chronic ischemia with rest pain of his right lower limb. Furthermore, the patient reported to have undergone intra-arterial lysis for a re-occlusion of the femoral nitinol stent. Both prior endovascular treatments had been performed two different outside hospitals and no angiographic images and detailed reports were available upon this emergent presentation of the patient. Subsequent to the two