In this video series, Dr. Karthikeshwar Kasirajan, MD, Clinical Professor of Surgery at Stanford Health Care, CA, reviews three patient cases using Shockwave Javelin, our Forward Intravascular Lithotripsy (IVL) Platform.

Case 1: Recurrent Superficial Femoral Artery (SFA) Stenosis

  • Female patient
  • Lesion crossing 0.014″ guidewire with Shockwave Javelin
  • 30% luminal gain post-Shockwave Javelin
  • Followed by Shockwave E8 5.0 mm, drug-coated balloon (DCB) and stent

Case 2: Multilevel Disease: SFA, Popliteal & Distal Posterior Tibial

  • 46-year-old male with end-stage renal disease (ESRD) and gangrene of the heel and first toe
  • SFA & popliteal:
    • Lesion crossing with Shockwave Javelin
    • 30% luminal gain post-Shockwave Javelin
    • Followed by Shockwave E8 6.0 mm and DCB
  • Distal PT occlusion:
    • PT and medial plantar crossing with Shockwave Javelin
    • 80% luminal gain post-Shockwave Javelin
    • Followed by percutaneous transluminal angioplasty (PTA) balloon

Case 3: Anterior Tibial (AT) Occlusion

  • 86-year-old male with gangrene of the heel and toe
  • Shockwave Javelin followed by Shockwave E8 3.0 mm

Dr. Kasirajan is a paid consultant of Shockwave Medical. The thoughts and views expressed are of their own opinions, and do not necessarily represent those 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.