Patients with CLI
Lesions Moderate-Severe Calcification
Patients on Dialysis
Lesions were CTO
Single-Vessel or Absent Runoff
This was an 86 year-old female Rutherford 5 CLI patient with extensive btk disease. The patient’s medical history includes: CAD, DM-2, HTN, HLD, ESRD on HD, former smoker and Diastolic CHF. With a high take-off of anterior tibial IVUS showed reference vessel diameter of 3.5mm with extensive calcification. A 4.0mm Shockwave M5+ catheter was used to treat the AT and TPT for an excellent angiographic result. The follow-up duplex scan showed patency in both the AT and TPT with wound healing at about 4-5 weeks.
Core Lab Adjudicated
After participating in this activity, learners should be better able to:
But, right now we're in the early phases of the R&D program. In the meantime, don't miss the IVL application that heart teams are embracing already — maintaining transfemoral TAVR access through heavily calcified iliacs by using IVL.