SCAI 2026 Treatment and Management of Complex Peripheral Arterial Disease-Discussion 2

Video Transcription

Video Summary

The discussion highlighted growing evidence supporting DVA, including studies like PROMIS and ALP, but emphasized that patient selection and close ultrasound monitoring remain crucial. Speakers also debated technical choices, such as using bare-metal versus covered stents in DVA, noting that blood flow and pressure dynamics may reduce bleeding risk. Finally, they reviewed calcium-modification tools, suggesting balloon-based IVL for many cases, while lasers or front-emitter devices may help with crossing heavily calcified lesions. They stressed that lesion morphology matters and that embolic protection and imaging can be important, especially in complex or hybrid procedures.

Asset Caption

closed captions are computer-generated

Keywords

DVA

ultrasound monitoring

stent selection

intravascular lithotripsy

calcified lesions