SCAI 2026 Treatment and Management of Complex Peripheral Arterial Disease-Calcium Modification in PAD, Dr. Serhal

Video Transcription

Video Summary

The speaker discusses peripheral arterial disease with severe calcification in a high-risk 71-year-old patient with diabetes, CKD risk factors, prior CABG, AFib, CLTI, and amputation. They emphasize why calcium modification matters: it improves balloon and stent performance, drug delivery, and reduces restenosis. Intravascular ultrasound (IVUS) is strongly recommended for sizing and calcium assessment. Treatment options include atherectomy and intravascular lithotripsy (IVL), with IVL favored by the speaker. Evidence from recent studies suggests benefits in limb outcomes and wound healing. A challenging case was treated via antegrade access, crossing an occlusion, using IVL, and the wound ultimately healed.

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closed captions are computer-generated

Keywords

peripheral arterial disease

severe calcification

intravascular ultrasound

intravascular lithotripsy

critical limb-threatening ischemia