Rotational atherectomy for ostial and calcified-SFA lesion under IVUS guidance

Description of lesion

Complex ostial SFA disease and in-stent restenosis

Description of procedure

IVUS guided intervention of complex SFA disease with Philips Visions IVUS and Phoenix Rotational Atherectomy System (and Stellarex DCB?).
 

Learning objectives

1/ Understand how IVUS guidance can:

• Determine vessel preparation strategy (calcified / non calcified plaque)
• Determine balloon size strategy
• Ddetermine guidewire position
• Determine the completeness of treatment (dissection / residual stenosis)

2/ Understand how vessel preparation with Phoenix atherectomy can:

• Effectively modify heavy calcification encountered in PAD intervention
• Increase acute success of DCB angioplasty (and theoretically long term success)
• Facilitate a leave nothing behind strategy for even the most complex lesions

3/ Understand how Stellarex DCB can improve the durability of treatment in complex lesions: