{"id":12030,"date":"2025-04-01T15:29:49","date_gmt":"2025-04-01T20:29:49","guid":{"rendered":"https:\/\/shockwavemedical.com\/education\/shockwave-e8-for-in-patient-with-diabetic-foot-disease\/"},"modified":"2025-05-12T07:47:35","modified_gmt":"2025-05-12T12:47:35","slug":"shockwave-e8-for-in-patient-with-diabetic-foot-disease","status":"publish","type":"post","link":"https:\/\/shockwavemedical.com\/de\/education\/shockwave-e8-for-in-patient-with-diabetic-foot-disease\/","title":{"rendered":"Shockwave E8 for the Treatment of the Posterior Tibial and Lateral Plantar Arteries"},"content":{"rendered":"\n<section id=\"block_75d1d41b626e0abdcf0e10cc756e5860\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<p>55-year-old male patient with insulin-dependent diabetes presents with gangrene affecting the second and third toes of the left foot. He exhibits absent foot pulses, while the popliteal pulse is palpable. The patient is scheduled for a hybrid procedure that includes the amputation of both toes and revascularization. His past medical history is significant for hypertension and hyperlipidemia. Currently, he is unable to work due to chronic limb-threatening ischemia (CLTI).<\/p>\n<p>\u00a0<\/p>\n\t<\/div>\n\t<\/section>\n\n\n<!-- BLOCK CONTENT -->\n<section id=\"block_9e54f8a840bbfb86bdd0f9bc4f91f348\" class=\"block block--case_module \">\n\t<div class=\"container text_colors\">\n\t\t\t<ul class=\"case_module__items\">\n\t\t\t\t\t<li class=\"media_item\" id=\"media_item-block_9e54f8a840bbfb86bdd0f9bc4f91f348_1\">\n\t\t\t\t\n\t\t\t\t<figure class=\"item__figure \">\n\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"440\" height=\"571\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-1-3.png\" class=\"attachment-full size-full lazyload\" alt=\"foot angiograms showing widely patent distal PT and lateral plantar arteries with excellent digital blood supply to 2nd and 3rd toes\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-1-3.png 440w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-1-3-231x300.png 231w\" data-sizes=\"(max-width: 440px) 100vw, 440px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 440px; --smush-placeholder-aspect-ratio: 440\/571;\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\n\t\t\t\t\t\t\t\t\t<div class=\"item__subheading h5\">Baseline angiograms showing normal inflow\/outflow, but narrowed distal PT and heavily stenosed lateral plantar arteries. IVUS confirming significant stenosis of the distal PT and lateral plantar arteries.<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"media_item\" id=\"media_item-block_9e54f8a840bbfb86bdd0f9bc4f91f348_2\">\n\t\t\t\t\n\t\t\t\t<figure class=\"item__figure \">\n\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"440\" height=\"571\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-1-2.png\" class=\"attachment-full size-full lazyload\" alt=\"10 cycles of 3.5 mm Shockwave E8 delivered in distal posterior tibial artery and proximal lateral plantar arch.\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-1-2.png 440w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-1-2-231x300.png 231w\" data-sizes=\"(max-width: 440px) 100vw, 440px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 440px; --smush-placeholder-aspect-ratio: 440\/571;\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\n\t\t\t\t\t\t\t\t\t<div class=\"item__subheading h5\">10 cycles of 3.5 mm Shockwave E8 delivered in distal posterior tibial artery and proximal lateral plantar arch.<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"media_item\" id=\"media_item-block_9e54f8a840bbfb86bdd0f9bc4f91f348_3\">\n\t\t\t\t\n\t\t\t\t<figure class=\"item__figure \">\n\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"440\" height=\"571\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-1-1.png\" class=\"attachment-full size-full lazyload\" alt=\"Baseline angiograms showing normal inflow\/outflow, but narrowed distal PT and heavily stenosed lateral plantar arteries\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-1-1.png 440w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-1-1-231x300.png 231w\" data-sizes=\"(max-width: 440px) 100vw, 440px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 440px; --smush-placeholder-aspect-ratio: 440\/571;\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\n\t\t\t\t\t\t\t\t\t<div class=\"item__subheading h5\">Final foot angiograms showing widely patent distal PT and lateral plantar arteries with excellent digital blood supply to 2nd and 3rd toes targeted for amputation. Foot pulses present following the case<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t<\/div>\n<\/section>\n\n<section\n\tid=\"block_4d7b9e7d6e8364b1b22e400eee488a5b\"\n\tclass=\"block block--spacer-with-optional-divider \"\n\taria-label=\"Spacer section with optional divider\">\n\t<div class=\"spacer-with-optional-divider-container container\">\n\n\t\t<!-- Space Above -->\n\t\t<div\n\t\t\tclass=\"space-above\"\n\t\t\tstyle=\"--aboveDesktop: 30px; --aboveMobile: 20px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t\t<!-- Optional Divider -->\n\t\t\n\t\t<!-- Space Below -->\n\t\t<div\n\t\t\tclass=\"space-below\"\n\t\t\tstyle=\"--belowDesktop: 0px; --belowMobile: 0px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t<\/div>\n<\/section>\n\n\n<section id=\"block_9b35afdabd0a89b10a92d00b152cb761\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<p>\u00a0<\/p>\n<hr \/>\n<p><span class=\"legal_copy\">Case courtesy of Dr. Ash Patel \u2013 Guy\u2019s & St Thomas\u2019 NHS Foundation Trust, London. <\/span><\/p>\n<p><span class=\"legal_copy\">Dr. Ash Patel is a paid consultant of Shockwave Medical. <\/span><\/p>\n\t<\/div>\n\t<\/section>","protected":false},"excerpt":{"rendered":"<p>Case Review of Shockwave E8 for the treatment of the posterior tibial and lateral plantar arteries in a patient with diabetic foot disease.<\/p>\n","protected":false},"author":15,"featured_media":11988,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":[403],"meta":{"_acf_changed":true,"content-type":"","footnotes":""},"categories":[3],"tags":[],"disease-state":[153,169],"education-topic":[189],"product-tag":[265],"specialty":[334,346],"technology":[326],"class_list":["post-12030","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-unkategorisiert","disease-state-below-the-knee-btk-de","disease-state-peripheral-artery-disease-de","education-topic-case-reviews-de","format-case-de","product-tag-shockwave-e8-de","specialty-interventional-radiologists-de","specialty-vascular-surgeons-de","technology-peripheral-ivl-de"],"acf":[],"_links":{"self":[{"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/posts\/12030","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/comments?post=12030"}],"version-history":[{"count":0,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/posts\/12030\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/media\/11988"}],"wp:attachment":[{"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/media?parent=12030"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/categories?post=12030"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/tags?post=12030"},{"taxonomy":"disease-state","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/disease-state?post=12030"},{"taxonomy":"education-topic","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/education-topic?post=12030"},{"taxonomy":"format","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/format?post=12030"},{"taxonomy":"product-tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/product-tag?post=12030"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/specialty?post=12030"},{"taxonomy":"technology","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/technology?post=12030"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}