Critical Limb Ischemia: Right Anterior Tibial & Dorsalis Pedis Revascularization Using Shockwave Javelin

Dr. Foley presents an 84 year-old male with history of heart failure, hypertension, diabetes, high cholesterol, non compressible ankle-brachial index (ABI), toe-brachial index (TBI) 0.3, limb threatening ischemia with a left hallux ulcer.

From an antegrade approach, Dr. Foley delivers 40 pulses from Shockwave Javelin to modify the focal peroneal lesion and enable crossing. This was followed by a 3.5mm x 40 mm PTA balloon, resulting in an impressive gain with IVL therapy with no dissections or embolic complications.

Dr. Foley is a paid consultant of Shockwave Medical.

Shockwave IVL: In the U.S.: Rx only. Prior to use, please reference the Important Safety Information for more information on indications, contraindications, warnings, precautions and adverse events.