A deeper understanding of CTOs in tibial arteries was recently described by Saab et al1 in a study designed to determine if cap morphologies analyzed via angiograms and ultrasound performed in patients with advanced peripheral arterial disease (PAD) can be used to predict the success of different interventional approaches (i.e., antegrade vs retrograde vs combined antegrade-retrograde) for the access and crossing of transverse CTOs. | Read More
This case demonstrates the feasibility and usefulness of intravascular lithotripsy (IVL) in infrapopliteal calcified stenosis to achieve improved acute results. | Read More
The pedal loop is the third and arguably most vital part of lower extremity perfusion and wound healing. It is known that outflow is correlated with patency, yet some would argue that we don’t pay enough attention to the distal foot circulation. | Read More
We propose a dissection classification combining depth of injury from intima to adventitia with circumference of dissection. This classification exhibits six dissection grades (A1, A2, B1, B2, C1, and C2) as seen on IVUS (the “iDissection” classification).   J INVASIVE CARDIOL 2018;30(4):145-146.   | Read More
When possible, percutaneous transluminal angioplasty (PTA) should be considered as a first-line choice for diabetic patients with foot ulcers and peripheral arterial disease with obstruction, as opposed to amputation. | Read More
While percutaneous transluminal angioplasty (PTA) enjoys high procedural success rates in focal lesions, the first line of therapy for the elderly, diabetic, end-stage renal disease (ESRD) patient population tends to be amputation.(8) | Read More