Complex Peripheral Vascular Interventions-Lesion Preparation for SFA Disease: When Do I Use IVL, Atherectomy, BOTH? Dr. John Winscott

Lesion Preparation for SFA Disease: When Do I Use IVL, Atherectomy, BOTH? Dr. John Winscott

Video Transcription

Video Summary

In a panel discussion on complex peripheral disease, the speaker focused on FEMPOP disease, highlighting its prevalence and challenges due to long calcified lesions often presenting as chronic total occlusions (CTOs). The talk emphasized vessel preparation for optimal outcomes, particularly when using drug-coated balloons (DCBs). The speaker stressed achieving less than 30% residual stenosis and no dissection before DCB application for better patency rates. Various techniques, including atherectomy and intravascular lithotripsy (IVL), were discussed to optimize treatment, demonstrating clinical success in real-world complex cases compared to trial conditions.

Keywords

FEMPOP disease

chronic total occlusions

drug-coated balloons

atherectomy

calcium

laser

orbital

plaque

intravascular lithotripsy