As new calcium-modifying technologies expand the repertoire of below-the-knee (BTK) arterial disease interventions, how should your treatment algorithm evolve, and what endpoints matter most? In this episode of the BackTable Podcast, Dr. Constantino Peña of the Baptist Health Miami Cardiac and Vascular Institute joins Dr. Sabeen Dhand to discuss the latest advancements in BTK chronic limb-threatening ischemia (CLTI) therapies and the push to improve on current vessel preparation outcomes.

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This podcast is supported by:

Shockwave Medical
https://shockwavemedical.com/

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SYNPOSIS

The physicians discuss the evolution of tibial arterial therapies, the challenges presented by heavily calcified lesions, and the impact of new tools, particularly the Shockwave E8 intravascular lithotripsy (IVL) device, on procedural considerations and endpoints. Dr. Peña shares his treatment algorithms and offers practical advice on selecting the right tools for each unique case. The episode closes with speculation on the future of treatment options and technologies for BTK disease, and the growing need for robust data to guide patient-specific treatment.

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TIMESTAMPS

00:00 - Introduction
02:11 - Understanding Tibial Disease and Treatment Evolution
07:22 - Advancements in Tibial Disease Treatment and the Role of IVL
15:31 - Techniques for Effective IVL Sizing and Usage
21:28 - Challenges and Innovations in Tibial Disease Management
26:48 - Innovations in Stent Technology
30:43 - Combining IVL with Adjunct Therapies
32:13 - Addressing Misconceptions in Tibial Treatment
37:54 - Advancements in Intravascular Lithotripsy
40:59 - Future of Vascular Treatments
43:42 - Final Thoughts