{"id":5583,"date":"2024-11-07T09:50:16","date_gmt":"2024-11-07T15:50:16","guid":{"rendered":"https:\/\/shockwavemedical.com\/dr-frank-arko-using-shockwave-ivl-to-modify-calcium-and-enable-evar-tevar-access\/"},"modified":"2025-01-09T09:24:18","modified_gmt":"2025-01-09T15:24:18","slug":"dr-frank-arko-using-shockwave-ivl-to-modify-calcium-and-enable-evar-tevar-access","status":"publish","type":"post","link":"https:\/\/shockwavemedical.com\/de\/education\/dr-frank-arko-using-shockwave-ivl-to-modify-calcium-and-enable-evar-tevar-access\/","title":{"rendered":"Dr. Frank Arko: Using Shockwave IVL to Modify Calcium and Enable EVAR\/TEVAR Access\u00a0\u00a0\u00a0"},"content":{"rendered":"\n<section id=\"block_2078e343a2a8734f388cf7a71239264e\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<div class=\"video\"><iframe title=\"YouTube video player\" data-src=\"https:\/\/www.youtube.com\/embed\/B-0BN712cDU?si=WynetCa_Vx-F8RPY\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" data-load-mode=\"1\"><\/iframe><\/div>\n<div>\n<hr \/>\n<p><span class=\"legal_copy\">Dr. Frank Arko is a paid consultant of Shockwave Medical.<\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\"><strong>Important Safety Information<\/strong> <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Peripheral IVL <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Shockwave M5+, Shockwave M5, Shockwave S4, Shockwave L6\u00a0and Shockwave E8\u00a0Safety Information <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">In the United States: Rx only. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Indications for Use\u2014The Shockwave Medical Intravascular Lithotripsy (IVL) System is intended for lithotripsy-enhanced balloon dilatation of lesions, including calcified lesions, in the peripheral vasculature, including the iliac, femoral, ilio-femoral, popliteal, infra-popliteal, and renal arteries. Not for use in the coronary, carotid or cerebral vasculature. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Contraindications\u2014Do not use if unable to pass 0.014\u2033 (M5, M5+, S4, E8) or 0.018\u2033 (L6) guidewire across the lesion-Not intended for treatment of in-stent restenosis or in coronary, carotid, or cerebrovascular arteries. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Warnings\u2014Only to be used by physicians who are familiar with interventional vascular procedures\u2014Physicians must be trained prior to use of the device\u2014Use the generator in accordance with recommended settings as stated in the Operator\u2019s Manual. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Precautions\u2014use only the recommended balloon inflation medium\u2014Appropriate anticoagulant therapy should be administered by the physician\u2014Decision regarding use of distal protection should be made based on physician assessment of treatment lesion morphology. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Adverse effects\u2013Possible adverse effects consistent with standard angioplasty include\u2013Access site complications\u2013Allergy to contrast or blood thinner\u2013Arterial bypass surgery\u2014Bleeding complications\u2014Death\u2014Fracture of guidewire or device\u2014Hypertension\/Hypotension\u2014Infection\/sepsis\u2014Placement of a stent\u2014renal failure\u2014Shock\/pulmonary edema\u2014target vessel stenosis or occlusion\u2014Vascular complications. Risks unique to the device and its use\u2014Allergy to catheter material(s)\u2014 Device malfunction or failure\u2014Excess heat at target site. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Prior to use, please reference the Instructions for Use for more information on indications, contraindications, warnings, precautions and adverse events.\u00a0<a href=\"http:\/\/www.shockwavemedical.com\/ifu\">www.shockwavemedical.com\/ifu <\/a><\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Shockwave Javelin Peripheral IVL Catheter Safety Information <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">In the United States: Rx only. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Indications for Use\u2013The Shockwave Medical IVL System with the Javelin Peripheral IVL Catheter is intended for lithotripsy-enabled modification and crossing of calcified lesions in the peripheral vasculature, including the iliac, femoral, ilio-femoral, popliteal, and infra-popliteal arteries, prior to final treatment. Not for use in the coronary, carotid, cerebral, or pulmonary vasculature <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Contraindications\u2013Do not use if unable to pass 0.014\u2033 (0.36mm) guidewire across the treatment site-Not intended for treatment of in-stent restenosis or in coronary, carotid, cerebral or pulmonary arteries. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Warnings\u2013Only to be used by physicians who are familiar with interventional vascular procedures\u2013Physicians must be trained prior to use of the device\u2013 Use the generator in accordance with recommended settings as stated in the Operator\u2019s Manual. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Precautions\u2013Avoid applying acoustic pressure pulses while IVL window is not filled with sterile saline\u2013Appropriate anticoagulant therapy should be administered by the physician\u2013 Decision regarding use of distal protection should be made based on physician assessment of treatment lesion morphology. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Adverse effects\u2013Possible adverse effects consistent with standard angioplasty include\u2013Access site complications\u2013Allergy to contrast or blood thinner\u2013Arterial bypass surgery\u2013Bleeding complications\u2013Death\u2013Fracture of guidewire or device\u2013Hypertension\/Hypotension\u2013Infection\/sepsis\u2013Placement of a stent\u2013renal failure\u2013Shock\/pulmonary edema\u2013target vessel stenosis or occlusion\u2013Vascular complications. Risks unique to the device and its use\u2013Allergy to catheter material(s)\u2013 Device malfunction or failure. <\/span><\/p>\n<p class=\"sp-hero-title--sm-blue\"><span class=\"legal_copy\">Prior to use, please reference the Instructions for Use for more information on indications, contraindications, warnings, precautions and adverse events.\u00a0<a href=\"http:\/\/www.shockwavemedical.com\/ifu\">www.shockwavemedical.com\/ifu<\/a><\/span><\/p>\n<\/div>\n\t<\/div>\n\t<\/section>","protected":false},"excerpt":{"rendered":"<p>Dr. Frank Arko discusses using Shockwave IVL to modify calcium and enable EVAR\/TEVAR access.<\/p>\n","protected":false},"author":15,"featured_media":3729,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":[210],"meta":{"_acf_changed":true,"content-type":"","footnotes":""},"categories":[3,1],"tags":[],"disease-state":[169,173],"education-topic":[185,189,197],"product-tag":[],"specialty":[297,330,346],"technology":[326],"class_list":["post-5583","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-unkategorisiert","category-uncategorized","disease-state-peripheral-artery-disease-de","disease-state-pre-evar-de","education-topic-best-practices-de","education-topic-case-reviews-de","education-topic-peer-to-peer-de","format-video-de","specialty-fellows-residents-de","specialty-interventional-cardiologists-de","specialty-vascular-surgeons-de","technology-peripheral-ivl-de"],"acf":[],"_links":{"self":[{"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/posts\/5583","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=5583"}],"version-history":[{"count":0,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/posts\/5583\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/media\/3729"}],"wp:attachment":[{"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/media?parent=5583"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/categories?post=5583"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/tags?post=5583"},{"taxonomy":"disease-state","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/disease-state?post=5583"},{"taxonomy":"education-topic","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/education-topic?post=5583"},{"taxonomy":"format","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/format?post=5583"},{"taxonomy":"product-tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/product-tag?post=5583"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/specialty?post=5583"},{"taxonomy":"technology","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/technology?post=5583"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}