Dr. Foley presents an 88 year-old female with a history of chronic venous insufficiency, end stage chronic obstructive pulmonary disease (COPD), lymphedema, peripheral artery disease (PAD), with abnormal ankle-brachial index (ABI), abnormal toe-brachial index (TBI), and a non-healing superficial lower extremity wound.

After successful crossing of the lesion, Dr. Foley uses a 6.0 mm x 80 mm Shockwave E8, followed by intravascular ultrasound (IVUS) to confirm angiographic results, and completes a post dilation with a 6.0 mm x 60 mm drug coated balloon (DCB) angioplasty improving flow and allowing time for wound healing with no dissection 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.