Lessons

    1. Can you tell us about your algorithm and how you came up with it?

    2. Do you use IVUS in any of these standard cases?

    3. How and when do you use DCB, and what do you do if you come across an occlusion?

    4. Tell me more about crossing devices and how you use them?

    5. What happens when you fail your true lumen attempt and can you tell me about your subintimal technique?

    6. Can you speak about vessel diameter and your experience with vessels less than 5mm?

    7. In patients with fem pop and below the knee disease do you stage their interventions?

    8. Tell us about SAFARI as an important component for anyone treating CLTI

    9. CME/CE Reflection: Module I

    1. Can you explain using the chiba needle technique for crossing a CTO?

    2. What is your escalation strategy for crossing a CTO with the chiba needle technique?

    3. How does the chiba needle go through the catheter, and do you need to shape it?

    4. How do you know if you're extraluminal with the Chiba needle and what's your technique?

    5. Do you use IVUS for sizing vessels and determining true lumen when performing these cases?

    6. Any tips for this Chiba technique for both retrograde and antegrade approaches?

    7. CME/CE Reflection: Module II

    1. What does SAFARI stand for and what are the tenets of the technique?

    2. What tools do you need once you've decided a SAFARI procedure is needed?

    3. When do you pick what kind of reentry device and do you have any techniques to get into the same subintimal planes?

    4. Do you use a radial cocktail when you put your pedal sheath in?

    5. Any techniques or suggestions you have to make these cases run more efficiently?

    6. How can we use long term patency to support doing these longer procedures?

    7. CME/CE Reflection: Module III

    1. What does a standard workup look like for you for patients presenting with below the knee CLI?

    2. Tell us about your procedure room and patient prep.

    3. How do you initiate your algorithm for CLI interventions and describe the CTOP Classification system?

    4. How are you using vessel prep in your algorithm for below the knee interventions?

    5. What is your go to for crossing catheters and wires, and what are the challenges with crossing?

    6. How does lesion type affect your approach?

    7. How do you perform serration balloon angioplasty and describe the challenges?

    8. How do you use IVUS to decide what lesion gets what treatment?

    9. When do you know your end point with that vessel or the whole case?

    10. How important is having a fully open plantar arch?

    11. What excites you about the future in this space?

    12. CME/CE Reflection: Module IV

    1. What do we mean by Wire Senses and what are the components?

    2. Big loops vs small loops with wire senses

    3. What is your technique on rotation and pushing the wire?

    4. How do you look at wire behavior when crossing a CTO?

    5. Tell us about the tactile feel of the wire, resistance and torque transmission

    6. What are the 6 characteristics of wires and how do they relate to feedback?

    7. What is your escalation technique of wire types?

    8. What are the Do's and Dont's in your algorithm

    9. CME/CE Reflection: Module V

    1. What tissue loss pattern are you seeing in below the ankle disease?

    2. How do you approach tandem disease below the knee?

    3. How do you determine a good endpoint for a wound?

    4. What is your Pedal Loop Technique?

    5. What is your preferred wire for the pedal loop?

    6. What do you do for post intervention follow up?

    7. Are pedal loop interventions overdone?

    8. CME/CE Reflection: Module VI

About this course

  • 52 lessons
  • 2.5 hours of content
  • Earn up to 6 CME/CE credits