Case submitted by Marianne Brodmann, MD, University of Graz

Summary: Proximal total occlusion and distal sub-total occlusion of popliteal artery. Severe calcification throughout. 4.5 mm x 60 mm Shockwave IVL delivered distally, followed by 5.5 mm x 60 mm IVL proximally. Final result shows <30% residual with IVL alone, no complications and no implants.