Crack Calcium in Large Vessels
Maintain Treatment Options In Iliacs
Faster pulsing
IVL therapy at 2 pulses per second
8.0, 9.0, 10.0 & 12.0 mm diameter sizes
Compact emitter design
30 mm balloon length
.018” guidewire
IVL therapy at 2-4 atm
Case courtesy of Prof Stefano Fazzini │ Tor Vergata University │ Rome, Italy
71-year-old male patient with severe, life-limiting claudication. Hemodynamically significant 90% stenosis of EIA
Shockwave L6 9.0 mm; 300 pulses delivered; <15% residual stenosis
Low residual stenosis with improvement from monophasic to triphasic flow. At 2-month follow-up claudication is resolved.
Case courtesy of Mr. Harishankar Nair and Mr. Ashish Patel │ St Thomas' │ London, UK
69-year-old male patient with CLTI and severe rest pain caused by bilateral iliac and CFA disease
Common Femoral Endarterectomy and patch plasties followed by bilateral 10.0 mm Shockwave L6
8x79 VBX stents
Completion angio following stent deployment showed no residual stenosis, and rest pain resolved
Case courtesy of Dr. Mark Portou │ Royal Free │ London, UK
86-year-old female patient with tight pain and deteriorating right third toe wound. Initial angio shows calcified iliac bifurcation
Focal near occlusive calcified plaque in the proximal right common iliac
12 mm Shockwave L6, 300 pulses delivered
No evidence of dissection; residual stenosis less than 30%. No stent was required
Increase in MLA to 68.5 mm2. One week post procedure the patient reported complete resolution of pain and a significant improvement in the third toe wound.
Shockwave L6: Is It Time to Rethink Your Strategy for Treating Large Vessel Calcification?
| BALLOON DIAMETER (mm) |
BALLOON LENGTH (mm) |
SHEATH COMPATIBILITY (Fr) | CATHETER WORKING LENGTH (cm) | PULSES/ CYCLE | CYCLES | MAX PULSES | BALLOON CROSSING PROFILE (in) | GUIDEWIRE COMPATIBILITY (in) |
|---|---|---|---|---|---|---|---|---|
| 8.0 | 30 | 7 | 110 | 30 | 10 | 300 | 0.086 | 0.018 |
| 9.0 | 30 | 7 | 110 | 30 | 10 | 300 | 0.087 | 0.018 |
| 10.0 | 30 | 8 | 110 | 30 | 10 | 300 | 0.091 | 0.018 |
| 12.0 | 30 | 8 | 110 | 30 | 10 | 300 | 0.093 | 0.018 |
| BALLOON DIAMETER (mm) |
BALLOON LENGTH (mm) |
SHEATH COMPATIBILITY (Fr) | CATHETER WORKING LENGTH (cm) |
|---|---|---|---|
| 8.0 | 30 | 7 | 110 |
| 9.0 | 30 | 7 | 110 |
| 10.0 | 30 | 8 | 110 |
| 12.0 | 30 | 8 | 110 |
| BALLOON DIAMETER (mm) |
PULSES/ CYCLE | CYCLES | MAX PULSES | BALLOON CROSSING PROFILE (in) | GUIDEWIRE COMPATIBILITY (in) |
|---|---|---|---|---|---|
| 8.0 | 30 | 10 | 300 | 0.086 | 0.018 |
| 9.0 | 30 | 10 | 300 | 0.087 | 0.018 |
| 10.0 | 30 | 10 | 300 | 0.091 | 0.018 |
| 12.0 | 30 | 10 | 300 | 0.093 | 0.018 |
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