{"id":12628,"date":"2025-09-05T04:47:21","date_gmt":"2025-09-05T09:47:21","guid":{"rendered":"https:\/\/shockwavemedical.com\/?p=12628"},"modified":"2026-04-08T08:43:48","modified_gmt":"2026-04-08T13:43:48","slug":"shockwave-javelin-peripheral-for-the-treatment-of-a-long-anterior-tibial-artery-occlusive-lesion","status":"publish","type":"post","link":"https:\/\/shockwavemedical.com\/en-eu\/education\/shockwave-javelin-peripheral-for-the-treatment-of-a-long-anterior-tibial-artery-occlusive-lesion\/","title":{"rendered":"Shockwave Javelin Peripheral for the Treatment of a Long Anterior Tibial Artery Occlusive Lesion"},"content":{"rendered":"\n<section id=\"block_755af657b62cb86736941a02e0587ff3\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<p>This case, courtesy of Dr. Maria Antonella Ruffino, Interventional Radiology, Lugano, features an \u200b83-year-old male patient with type 2 diabetes, dyslipidemia, and hypertension. He is suffering from Rutherford class 5 peripheral artery disease (PAD) and is presenting a heel ulcer.<\/p>\n\t<\/div>\n\t<\/section>\n\n\n<!-- BLOCK CONTENT -->\n<section id=\"block_5bd96d211c8377a6497643632bda4c74\" 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_5bd96d211c8377a6497643632bda4c74_1\">\n\t\t\t\t\t\t\t\t\t<div class=\"item__heading h4\">Pre-procedure<\/div>\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=\"440\" height=\"570\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Pre-1.png\" class=\"attachment-full size-full lazyload\" alt=\"\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Pre-1.png 440w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Pre-1-232x300.png 232w\" data-sizes=\"(max-width: 440px) 100vw, 440px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 440px; --smush-placeholder-aspect-ratio: 440\/570;\" \/>\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 shows a total occlusion of the anterior tibial artery (ATA), with a diffuse lesion of 30 cm length.\u200b Ankle-brachial index (ABI) pre procedure: 0.30.<\/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_5bd96d211c8377a6497643632bda4c74_2\">\n\t\t\t\t\t\t\t\t\t<div class=\"item__heading h4\">Pre-procedure<\/div>\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=\"440\" height=\"570\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Pre-2.png\" class=\"attachment-full size-full lazyload\" alt=\"\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Pre-2.png 440w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Pre-2-232x300.png 232w\" data-sizes=\"(max-width: 440px) 100vw, 440px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 440px; --smush-placeholder-aspect-ratio: 440\/570;\" \/>\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\">Image shows poor distal run-off at the dorsalis pedis artery. \u200b<\/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_5bd96d211c8377a6497643632bda4c74_3\">\n\t\t\t\t\t\t\t\t\t<div class=\"item__heading h4\">Shockwave Javelin Treatment<\/div>\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=\"440\" height=\"570\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-IVL-1.png\" class=\"attachment-full size-full lazyload\" alt=\"\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-IVL-1.png 440w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-IVL-1-232x300.png 232w\" data-sizes=\"(max-width: 440px) 100vw, 440px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 440px; --smush-placeholder-aspect-ratio: 440\/570;\" \/>\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\">After crossing with a 0.014 guidewire, 2.0 mm percutaneous transluminal angioplasty (PTA) balloon couldn\u2019t cross at the origin of the ATA. \u200bShockwave Javelin Peripheral was used to modify the calcium and cross the occlusion. \u200b<\/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_5bd96d211c8377a6497643632bda4c74_4\">\n\t\t\t\t\t\t\t\t\t<div class=\"item__heading h4\">Shockwave Javelin Treatment<\/div>\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=\"440\" height=\"570\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-IVL-2.png\" class=\"attachment-full size-full lazyload\" alt=\"\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-IVL-2.png 440w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-IVL-2-232x300.png 232w\" data-sizes=\"(max-width: 440px) 100vw, 440px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 440px; --smush-placeholder-aspect-ratio: 440\/570;\" \/>\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\">120 pulses were delivered along the proximal and medial segment of the ATA. \u200bShockwave Javelin Peripheral allowed to modify calcium along the lesion, enabling effective treatment with 2.5 mm PTA balloon.<\/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_5bd96d211c8377a6497643632bda4c74_5\">\n\t\t\t\t\t\t\t\t\t<div class=\"item__heading h4\">Post-procedure<\/div>\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=\"440\" height=\"570\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Post-1.png\" class=\"attachment-full size-full lazyload\" alt=\"\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Post-1.png 440w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Post-1-232x300.png 232w\" data-sizes=\"(max-width: 440px) 100vw, 440px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 440px; --smush-placeholder-aspect-ratio: 440\/570;\" \/>\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 restored flow of the anterior tibial artery. ABI post procedure: 0.75.<\/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_5bd96d211c8377a6497643632bda4c74_6\">\n\t\t\t\t\t\t\t\t\t<div class=\"item__heading h4\">Post-procedure<\/div>\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=\"440\" height=\"570\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Post-2-1.png\" class=\"attachment-full size-full lazyload\" alt=\"\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Post-2-1.png 440w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/09\/Javelin-Case-Post-2-1-232x300.png 232w\" data-sizes=\"(max-width: 440px) 100vw, 440px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 440px; --smush-placeholder-aspect-ratio: 440\/570;\" \/>\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\">Foot angio shows direct flow from the anterior tibial artery into the dorsalis pedis and increased perfusion to the heel.<\/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\n<section id=\"block_338d29fdde79a06e61cde189629b7a7f\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<hr \/>\n<p><span class=\"legal_copy\">Case courtesy of Dr. Maria Antonella Ruffino, Interventional Radiology, Lugano. <\/span><\/p>\n<p><span class=\"legal_copy\">Dr. Maria Antonella Ruffino is a paid consultant of Shockwave Medical.<\/span><\/p>\n<p>\u200b<\/p>\n\t<\/div>\n\t<\/section>","protected":false},"excerpt":{"rendered":"<p>This case, courtesy of Dr. Maria Antonella Ruffino, Interventional Radiology, Lugano, features an \u200b83-year-old male patient with type 2 diabetes, dyslipidemia, and hypertension.<\/p>\n","protected":false},"author":19,"featured_media":12629,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":[402],"meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[17],"tags":[],"disease-state":[151,167],"education-topic":[187],"product-tag":[420],"specialty":[328,344],"technology":[324],"class_list":["post-12628","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-en-uk","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-javelin-peripheral-ivl-catheter-en-uk","specialty-interventional-cardiologists-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\/12628","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\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/comments?post=12628"}],"version-history":[{"count":1,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts\/12628\/revisions"}],"predecessor-version":[{"id":13898,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts\/12628\/revisions\/13898"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/media\/12629"}],"wp:attachment":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/media?parent=12628"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/categories?post=12628"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/tags?post=12628"},{"taxonomy":"disease-state","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/disease-state?post=12628"},{"taxonomy":"education-topic","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/education-topic?post=12628"},{"taxonomy":"format","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/format?post=12628"},{"taxonomy":"product-tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/product-tag?post=12628"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/specialty?post=12628"},{"taxonomy":"technology","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/technology?post=12628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}