Clinical Presentation

The patient is a 66-year-old woman with end-stage renal disease and history of left femoral dialysis catheter placement.

(A) Image of a nonselective digital subtraction arteriogram (DSA) of the distal aorta and iliac arteries demonstrating mild-to-moderate atherosclerotic changes in the aorta and iliac arteries. There is early opacification of the left external iliac vein (arrow). (B)