Dr. Foteh presents a 79 year-old male patient with history of coronary artery disease (CAD), hypertension, hyperlipidemia, peripheral artery disease (PAD), and abnormal ankle-brachial (ABI) and toe-brachial indices (TBI).

Using a contralateral approach, Dr. Foteh successfully crosses the lesion advancing a 4.0 mm x 80 mm Shockwave IVL E8, followed by a 4.0 mm drug coated balloon (DCB) in the anterior tibial and a larger DCB in the superficial femoral artery (SFA), providing improved flow with no dissection or embolic complications.


Dr. Foteh 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.