This didactic procedure concerns a 70 years old man, with multiple cardiovascular risk factors, presenting severe Left Limb Critical Ischemia with extensive gangrene in the II-III & IV toes.
He was treated by complete revascularization of both Anterior tibial artery (True to true lumen) & Posterior tibial artery recanalization, Good final angiographic result with acceptable Run off.
Mangesh T. Very well done BTK & BTA Tibial Arterial DCB Plasty with excellent foot perfusion results.
But Why not use “Phoenix Hybrid (Rotational & Directional) Atherectomy device for debulking heavily calcified distal PTA & dorsal Foot arch or at least Shockwave Lithoplasty balloons to beat Calcium??
v22e V. Excelent case
v22e V. Thanks