{"id":11994,"date":"2025-04-01T15:23:36","date_gmt":"2025-04-01T20:23:36","guid":{"rendered":"https:\/\/shockwavemedical.com\/?p=11994"},"modified":"2025-04-01T15:25:25","modified_gmt":"2025-04-01T20:25:25","slug":"shockwave-e8-for-the-treatment-of-a-long-anterior-tibial-occlusion","status":"publish","type":"post","link":"https:\/\/shockwavemedical.com\/en-eu\/education\/shockwave-e8-for-the-treatment-of-a-long-anterior-tibial-occlusion\/","title":{"rendered":"Shockwave E8 for the Treatment of a Long Anterior Tibial Occlusion"},"content":{"rendered":"\n<section id=\"block_88eacbc6a504e3128a7b0fe364ba815f\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<p>83-year-old male patient classified as Rutherford VI, presenting with ischemic ulcers on the first and second toes, along with the presence of gangrene in the fifth toe and experiencing permanent rest pain. He has a medical history of stage IV renal insufficiency, insulin-dependent diabetes, and arterial hypertension.<\/p>\n<p>\u00a0<\/p>\n\t<\/div>\n\t<\/section>\n\n\n<!-- BLOCK CONTENT -->\n<section id=\"block_243de23bd394f173dcd8c78209c77f94\" class=\"block block--case_module \">\n\t<div class=\"container text_colors\">\n\t\t\t<ul class=\"case_module__items\">\n\t\t\t\t\t<li class=\"media_item\" id=\"media_item-block_243de23bd394f173dcd8c78209c77f94_1\">\n\t\t\t\t\n\t\t\t\t<figure class=\"item__figure \">\n\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"612\" height=\"792\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-1-1.png\" class=\"attachment-full size-full lazyload\" alt=\"Baseline Angio showing diffuse Anterior Tibial disease\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-1-1.png 612w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-1-1-232x300.png 232w\" data-sizes=\"(max-width: 612px) 100vw, 612px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 612px; --smush-placeholder-aspect-ratio: 612\/792;\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\n\t\t\t\t\t\t\t\t\t<div class=\"item__subheading h5\">Baseline Angio showing diffuse Anterior Tibial disease.<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"media_item\" id=\"media_item-block_243de23bd394f173dcd8c78209c77f94_2\">\n\t\t\t\t\n\t\t\t\t<figure class=\"item__figure \">\n\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"612\" height=\"792\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-2-1.png\" class=\"attachment-full size-full lazyload\" alt=\"AP view shows no plantar arch or flow to metatarsals arteries and no pedal pulse present\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-2-1.png 612w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-2-1-232x300.png 232w\" data-sizes=\"(max-width: 612px) 100vw, 612px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 612px; --smush-placeholder-aspect-ratio: 612\/792;\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\n\t\t\t\t\t\t\t\t\t<div class=\"item__subheading h5\">AP view shows no plantar arch or flow to metatarsal arteries and no pedal pulse present.<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"media_item\" id=\"media_item-block_243de23bd394f173dcd8c78209c77f94_3\">\n\t\t\t\t\n\t\t\t\t<figure class=\"item__figure \">\n\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"612\" height=\"792\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-3-1.png\" class=\"attachment-full size-full lazyload\" alt=\"angio showing 3rd cycle with Shockwave E8\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-3-1.png 612w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-3-1-232x300.png 232w\" data-sizes=\"(max-width: 612px) 100vw, 612px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 612px; --smush-placeholder-aspect-ratio: 612\/792;\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\n\t\t\t\t\t\t\t\t\t<div class=\"item__subheading h5\">Patient was treated with 3.5 mm Shockwave E8 catheter. The image shows 3rd cycle with Shockwave E8.<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"media_item\" id=\"media_item-block_243de23bd394f173dcd8c78209c77f94_4\">\n\t\t\t\t\n\t\t\t\t<figure class=\"item__figure \">\n\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"612\" height=\"792\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-4-1.png\" class=\"attachment-full size-full lazyload\" alt=\"angio during shockwave e8 treatment\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-4-1.png 612w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-4-1-232x300.png 232w\" data-sizes=\"(max-width: 612px) 100vw, 612px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 612px; --smush-placeholder-aspect-ratio: 612\/792;\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\n\t\t\t\t\t\t\t\t\t<div class=\"item__subheading h5\">400 pulses of Shockwave E8 delivered along ATA and < 10% residual stenosis across the lesion length<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<li class=\"media_item\" id=\"media_item-block_243de23bd394f173dcd8c78209c77f94_5\">\n\t\t\t\t\n\t\t\t\t<figure class=\"item__figure \">\n\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"612\" height=\"792\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-5-1.png\" class=\"attachment-full size-full lazyload\" alt=\"Final angio shows direct flow to metatarsal arteries\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-5-1.png 612w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/04\/Case-2-5-1-232x300.png 232w\" data-sizes=\"(max-width: 612px) 100vw, 612px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 612px; --smush-placeholder-aspect-ratio: 612\/792;\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\n\t\t\t\t\t\t\t\t\t<div class=\"item__subheading h5\">Final angio shows direct flow to metatarsal arteries and palpable pulses with resolution of rest pain. 5th toe amputation was completed post procedure with triphasic signals in foot following DUS assessment<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t<\/div>\n<\/section>\n\n<section\n\tid=\"block_67c586413bf8efd17e445aedbd6e0113\"\n\tclass=\"block block--spacer-with-optional-divider \"\n\taria-label=\"Spacer section with optional divider\">\n\t<div class=\"spacer-with-optional-divider-container container\">\n\n\t\t<!-- Space Above -->\n\t\t<div\n\t\t\tclass=\"space-above\"\n\t\t\tstyle=\"--aboveDesktop: 30px; --aboveMobile: 20px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t\t<!-- Optional Divider -->\n\t\t\n\t\t<!-- Space Below -->\n\t\t<div\n\t\t\tclass=\"space-below\"\n\t\t\tstyle=\"--belowDesktop: 0px; --belowMobile: 0px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t<\/div>\n<\/section>\n\n\n<section id=\"block_bfeb4092624273afe5117f4192ecd201\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<p>\u00a0<\/p>\n<hr \/>\n<p><span class=\"legal_copy\">Case courtesy of Dr. Arne Schwindt\u2013 St. Franziskus Hospital, M\u00fcnster. <\/span><\/p>\n<p><span class=\"legal_copy\">Dr. Arne Schwindt is a paid consultant of Shockwave Medical. <\/span><\/p>\n\t<\/div>\n\t<\/section>","protected":false},"excerpt":{"rendered":"<p>Shockwave E8 case review for the treatment of a Long Anterior Tibial Occlusion<\/p>\n","protected":false},"author":15,"featured_media":11990,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":[402],"meta":{"_acf_changed":true,"content-type":"","footnotes":""},"categories":[1],"tags":[],"disease-state":[151,167],"education-topic":[187],"product-tag":[263],"specialty":[332,344],"technology":[324],"class_list":["post-11994","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","disease-state-below-the-knee-btk","disease-state-peripheral-artery-disease-en-uk","education-topic-case-reviews-en-uk","format-case-en-uk","product-tag-shockwave-e8-en-uk","specialty-interventional-radiologists-en-uk","specialty-vascular-surgeons-en-uk","technology-peripheral-ivl-en-uk"],"acf":[],"_links":{"self":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts\/11994","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/comments?post=11994"}],"version-history":[{"count":0,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts\/11994\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/media\/11990"}],"wp:attachment":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/media?parent=11994"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/categories?post=11994"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/tags?post=11994"},{"taxonomy":"disease-state","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/disease-state?post=11994"},{"taxonomy":"education-topic","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/education-topic?post=11994"},{"taxonomy":"format","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/format?post=11994"},{"taxonomy":"product-tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/product-tag?post=11994"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/specialty?post=11994"},{"taxonomy":"technology","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/technology?post=11994"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}