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Treatment of Calcified Peripheral Artery Disease With the Shockwave Forward Peripheral Intravascular Lithotripsy System: One-Year Outcomes From the FORWARD PAD IDE and Mini S Feasibility Studies

Year: 2026
Type: article
Abstract: Severe calcification, chronic total occlusions (CTOs), and medial calcification are obstacles for endovascular treatment of peripheral artery disease and contribute to high mortality and amputation rates. In complex patients, current calcium modification technologies can be limited by an inability to deliver across severely stenosed lesions and associated risks of vessel damage and distal embolization. The novel Javelin intravascular lithotripsy (IVL) catheter (Shockwave Medical)1 was designed to safely modify calcification in extremely narrow crossing channels where a guide wire can be passed (Figure 1).
DOI: 10.1016/j.jscai.2026.105579
Authors: Andrew Holden, John D. Corl, Sameh Sayfo, Bibombe P. Mwipatayi, Manar Khashram, Nicolas W. Shammas, Anderson Mehrle, Anvar Babaev, Peter A. Soukas, Richard Pin, Padma Seethamraju, Nick E.J. West, Daniel Clair
Institutions: Auckland City Hospital, Auckland District Health Board, Christ Hospital, Heart Hospital Baylor Plano, Royal Perth Hospital, Waikato Hospital, Midwest Cardiovascular Research Foundation, Ascension, NYU Langone Health, Brown University, Miriam Hospital, SouthCoast Health, ShockWave Medical (United States), Vanderbilt University Medical Center
Language: English
Subfield: Surgery
Field: Medicine
Open Access status: gold
Estimated APC paid: $2,400
OpenAlex ID: W7204491916
FWCI:
Cites: 5
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Related to: 10