{"id":8524,"date":"2022-01-06T19:07:00","date_gmt":"2022-01-07T01:07:00","guid":{"rendered":"https:\/\/shockwavemedical.com\/education\/the-economics-of-shockwave-with-dr-margaret-mcentegart\/"},"modified":"2024-12-11T13:00:31","modified_gmt":"2024-12-11T19:00:31","slug":"the-economics-of-shockwave-with-dr-margaret-mcentegart","status":"publish","type":"post","link":"https:\/\/shockwavemedical.com\/de\/education\/the-economics-of-shockwave-with-dr-margaret-mcentegart\/","title":{"rendered":"The Economics of Shockwave with Dr. Margaret McEntegart"},"content":{"rendered":"\n<section id=\"block_b890a5cf7e7b28444c0633afc3a67125\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<div>\n<p>Dr. McEntegart speaks to the economics of Shockwave IVL<\/p>\n<p>You can also download a <a href=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/CLDOnline_McEntegart_0122_Final.pdf\">PDF<\/a> or read The Calcium Corner online <a href=\"https:\/\/www.hmpgloballearningnetwork.com\/site\/cathlab\/topic-center\/calcium-corner\" target=\"_blank\" rel=\"noopener\">here<\/a>.<\/p>\n<\/div>\n<div class=\"video\"><iframe title=\"YouTube video player\" data-src=\"https:\/\/www.youtube.com\/embed\/uUNBlXQrbz8?si=GwpHrzRS1ypeeLR4\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" data-load-mode=\"1\"><\/iframe><\/div>\n<p>\u00a0<\/p>\n<hr \/>\n<p><span class=\"legal_copy\">Dr. McEntegart is a paid consultant for Shockwave Medical.<\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Coronary IVL<\/strong><\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Shockwave C2 and Shockwave C2+ Safety Information<\/strong><\/span><\/p>\n<p><span class=\"legal_copy\">In the United States: Rx only.<\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Indications for Use \u2013<\/strong> The Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave C2 and C2+ Coronary IVL Catheter is indicated for lithotripsy-enabled, low-pressure balloon dilatation of severely calcified, stenotic de novo coronary arteries prior to stenting. <\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Contraindications \u2013<\/strong> The Shockwave C2 and C2+ Coronary IVL System is contraindicated for the following: This device is not intended for stent delivery. This device is not intended for use in carotid or cerebrovascular arteries. <\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Warnings \u2013<\/strong> Use the IVL Generator in accordance with recommended settings as stated in the Operator\u2019s Manual. The risk of a dissection or perforation is increased in severely calcified lesions undergoing percutaneous treatment, including IVL. Appropriate provisional interventions should be readily available. Balloon loss of pressure was associated with a numerical increase in dissection which was not statistically significant and was not associated with MACE. Analysis indicates calcium length is a predictor of dissection and balloon loss of pressure. IVL generates mechanical pulses which may cause atrial or ventricular capture in bradycardic patients. In patients with implantable pacemakers and defibrillators, the asynchronous capture may interact with the sensing capabilities. Monitoring of the electrocardiographic rhythm and continuous arterial pressure during IVL treatment is required. In the event of clinically significant hemodynamic effects, temporarily cease delivery of IVL therapy. <\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Precautions \u2013<\/strong> Only to be used by physicians trained in angiography and intravascular coronary procedures. Use only the recommended balloon inflation medium. Hydrophilic coating to be wet only with normal saline or water and care must be taken with sharp objects to avoid damage to the hydrophilic coating. Appropriate anticoagulant therapy should be administered by the physician. Precaution should be taken when treating patients with previous stenting within 5mm of target lesion. <\/span><\/p>\n<p><span class=\"legal_copy\">Potential adverse effects consistent with standard based cardiac interventions include- Abrupt vessel closure \u2013 Allergic reaction to contrast medium, anticoagulant and\/or antithrombotic therapy-Aneurysm-Arrhythmia-Arteriovenous fistula-Bleeding complications-Cardiac tamponade or pericardial effusion-Cardiopulmonary arrest-Cerebrovascular accident (CVA)-Coronary artery\/vessel occlusion, perforation, rupture or dissection-Coronary artery spasm-Death-Emboli (air, tissue, thrombus or atherosclerotic emboli)-Emergency or nonemergency coronary artery bypass surgery-Emergency or nonemergency percutaneous coronary intervention-Entry site complications-Fracture of the guide wire or failure\/malfunction of any component of the device that may or may not lead to device embolism, dissection, serious injury or surgical intervention-Hematoma at the vascular access site(s)- Hemorrhage-Hypertension\/Hypotension-Infection\/sepsis\/fever-Myocardial Infarction-Myocardial Ischemia or unstable angina-Pain-Peripheral Ischemia-Pseudoaneurysm-Renal failure\/insufficiency-Restenosis of the treated coronary artery leading to revascularization-Shock\/pulmonary edema-Slow flow, no reflow, or abrupt closure of coronary artery-Stroke Thrombus-Vessel closure, abrupt-Vessel injury requiring surgical repair-Vessel dissection, perforation, rupture, or spasm. <\/span><\/p>\n<p><span class=\"legal_copy\">Risks identified as related to the device and its use: Allergic\/immunologic reaction to the catheter material(s) or coating-Device malfunction, failure, or balloon loss of pressure leading to device embolism, dissection, serious injury or surgical intervention-Atrial or ventricular extrasystole-Atrial or ventricular capture. <\/span><\/p>\n<p><span class=\"legal_copy\">Prior to use, please reference the Instructions for Use for more information on indications, contraindications, warnings, precautions and adverse events. www.shockwavemedical.com\/IFU. <\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Peripheral IVL<\/strong><\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Shockwave M5+, Shockwave M5, Shockwave S4, Shockwave L6 and Shockwave E8 Safety Information<\/strong><\/span><\/p>\n<p><span class=\"legal_copy\">In the United States: Rx only. <\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Indications for Use \u2013<\/strong> The 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><span class=\"legal_copy\"><strong>Contraindications \u2013<\/strong> Do 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><span class=\"legal_copy\"><strong>Warnings \u2013<\/strong> Only to be used by physicians who are familiar with interventional vascular procedures\u2013Physicians must be trained prior to use of the device\u2013Use the generator in accordance with recommended settings as stated in the Operator\u2019s Manual. <\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Precautions \u2013<\/strong> use only the recommended balloon inflation medium-Appropriate anticoagulant therapy should be administered by the physician-Decision regarding use of distal protection should be made based on physician assessment of treatment lesion morphology. Adverse effects-Possible adverse effects consistent with standard angioplasty include-Access site complications-Allergy to contrast or blood thinner-Arterial bypass surgery-Bleeding complications-Death-Fracture of guidewire or device-Hypertension\/Hypotension-Infection\/sepsis-Placement of a stent-renal failure-Shock\/pulmonary edema-target vessel stenosis or occlusion-Vascular complications. Risks unique to the device and its use-Allergy to catheter material(s)-Device malfunction or failure-Excess heat at target site. <\/span><\/p>\n<p><span class=\"legal_copy\">Prior to use, please reference the Instructions for Use for more information on indications, contraindications, warnings, precautions and adverse events. www.shockwavemedical.com\/ifu <\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Shockwave Javelin Peripheral IVL Catheter Safety Information<\/strong> <\/span><\/p>\n<p><span class=\"legal_copy\">In the United States: Rx only. <\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Indications for Use \u2013<\/strong> The 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><span class=\"legal_copy\"><strong>Contraindications \u2013<\/strong> Do 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><span class=\"legal_copy\"><strong>Warnings \u2013<\/strong> Only to be used by physicians who are familiar with interventional vascular procedures-Physicians must be trained prior to use of the device-Use the generator in accordance with recommended settings as stated in the Operator\u2019s Manual. <\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Precautions \u2013<\/strong> Avoid applying acoustic pressure pulses while IVL window is not filled with sterile saline-Appropriate anticoagulant therapy should be administered by the physician-Decision regarding use of distal protection should be made based on physician assessment of treatment lesion morphology. <\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Adverse effects \u2013<\/strong> Possible adverse effects consistent with standard angioplasty include-Access site complications-Allergy to contrast or blood thinner-Arterial bypass surgery-Bleeding complications-Death-Fracture of guidewire or device-Hypertension\/Hypotension-Infection\/sepsis-Placement of a stent-renal failure-Shock\/pulmonary edema-target vessel stenosis or occlusion-Vascular complications. Risks unique to the device and its use-Allergy to catheter material(s)-Device malfunction or failure. <\/span><\/p>\n<p><span class=\"legal_copy\">Prior to use, please reference the Instructions for Use for more information on indications, contraindications, warnings, precautions and adverse events. www.shockwavemedical.com\/ifu<\/span><\/p>\n\t<\/div>\n\t<\/section>","protected":false},"excerpt":{"rendered":"<p>Learn more about the economics of Shockwave IVL with Dr. McEntegart.<\/p>\n","protected":false},"author":2,"featured_media":3858,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":[210,213],"meta":{"_acf_changed":true,"content-type":"","footnotes":""},"categories":[3,1],"tags":[],"disease-state":[161,169],"education-topic":[189,197,201],"product-tag":[257,253],"specialty":[297,301,330,334,346],"technology":[318,326],"class_list":["post-8524","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-unkategorisiert","category-uncategorized","disease-state-coronary-artery-disease-de","disease-state-peripheral-artery-disease-de","education-topic-case-reviews-de","education-topic-peer-to-peer-de","education-topic-reimbursement-de","format-video-de","format-webinar-de","product-tag-shockwave-c2-de-2","product-tag-shockwave-c2-de","specialty-fellows-residents-de","specialty-hospital-administration-de","specialty-interventional-cardiologists-de","specialty-interventional-radiologists-de","specialty-vascular-surgeons-de","technology-coronary-ivl-de","technology-peripheral-ivl-de"],"acf":[],"_links":{"self":[{"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/posts\/8524","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\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/comments?post=8524"}],"version-history":[{"count":0,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/posts\/8524\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/media\/3858"}],"wp:attachment":[{"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/media?parent=8524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/categories?post=8524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/tags?post=8524"},{"taxonomy":"disease-state","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/disease-state?post=8524"},{"taxonomy":"education-topic","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/education-topic?post=8524"},{"taxonomy":"format","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/format?post=8524"},{"taxonomy":"product-tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/product-tag?post=8524"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/specialty?post=8524"},{"taxonomy":"technology","embeddable":true,"href":"https:\/\/shockwavemedical.com\/de\/wp-json\/wp\/v2\/technology?post=8524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}