SCAI 2026 Treatment and Management of Complex Peripheral Arterial Disease-Discussion 3

Video Transcription

Video Summary

Panelists debated atherectomy, claudication, CLTI, and DVA, stressing that patient selection and best medical therapy are crucial. They argued atherectomy has a role in select cases like calcified popliteal or SFA lesions, but overuse, poor technique, and lack of embolic protection can cause harm. They emphasized avoiding unnecessary intervention for mild claudication, recognizing nonvascular mimics, and giving patients a fair chance before amputation. For severe limb threat, DVA may be appropriate earlier in high-risk cases. The discussion ended with a call for better apples-to-apples comparisons of surgical and percutaneous outcomes using patient-centered endpoints like amputation-free survival and wound healing.

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Keywords

atherectomy

calcium

laser

orbital

plaque

claudication

CLTI

deep venous arterialization

amputation-free survival