Limb-Threatening Ischemia With Hallux Ulcer Treated Using Shockwave IVL Javelin

Dr. Foley presents an 88 year-old male with a history of heart failure, and non-compressible ankle-brachial index (ABI), and very reduced toe-brachial index (TBI), with a gangrenous ulcer of the right hallux.

Using an antegrade right common femoral approach, Dr. Foley successfully crosses the lesion and advances the Shockwave IVL Javelin, followed by post dilation with a 3.0 mm x 22 mm PTA balloon resulting in improved distal flow 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.