Extensive calcification of AT/TPT bifurcation

Roger Gammon, MD, Heart Hospital of Austin
Extensive trifurcation calcification involving anterior tibial and tibioperoneal trunk. Multiple previous failed interventions. Prior to IVL, multiple failed PTA and cutting balloons used in the same procedure. 4.0mm x 60mm Shockwave IVL delivered across PT ostium and 3 cycles delivered. Same catheter moved to AT ostium and 3 cycles delivered. Final result shows resolution of stenosis and good flow
Pre-Procedure
Shockwave IVL
Post-IVL

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