Shockwave Intravascular Lithotripsy Via Exclusive Pedal Approach for the Treatment of Complicated Peripheral Arterial Disease

Reshma R Golamari; John J Finley

doi:10.1016/j.jaccas.2019.09.012

Shockwave Intravascular Lithotripsy Via Exclusive Pedal Approach for the Treatment of Complicated Peripheral Arterial Disease

JACC Case Rep. 2019 Nov 6;1(4):583-587. doi: 10.1016/j.jaccas.2019.09.012. eCollection 2019 Dec.

Authors

Reshma R Golamari¹, John J Finley²

Affiliations

¹ Department of Internal Medicine, Mercy Catholic Medical Center-Fitzgerald Campus, Darby, Pennsylvania.
² Department of Interventional Cardiology, Mercy Catholic Medical Center-Fitzgerald Campus, Darby, Pennsylvania.

Abstract

Shockwave intravascular lithotripsy for the treatment of peripheral arterial disease is routinely performed via femoral artery access. In patients with complex femoropopliteal disease, this traditional approach is not feasible. To address this situation, we used an exclusive pedal access approach along with other adjunctive treatments, resulting in a successful outcome. (Level of Difficulty: Advanced.).

Keywords: DP, dorsalis pedis; IVL, intravascular lithotripsy; IVUS, intravascular ultrasound; PAD, peripheral arterial disease; SFA, superficial femoral artery; claudication; peripheral vascular disease; treatment.

Publication types

Case Reports