Size for Success: Peripheral IVL Sizing for Optimal Results

In this short, 3-part video series, Dr. Eric Secemsky (Interventional Cardiologist, Beth Israel Deaconess in Boston, Massachusetts) and Dr. Michael Siah (Vascular Surgeon, UT Southwestern Medical Center in Dallas, Texas) discuss appropriate peripheral intravascular lithotripsy (IVL) sizing – the what, why, and how – for optimal clinical results.

Size for Success Part 1: Why We Undersize Our Endovascular Tools & the Importance of IVUS

Drs. Secemsky and Siah kick off the discussion with overall under-sizing trends of endovascular tools – why it happens and the clinical implications. They integrate intravascular ultrasound (IVUS) into the discussion and cover why IVUS is so important in understanding calcium burden and obtaining accurate sizing measurements, despite the number of barriers to use.

Size for Success Part 2: Peripheral IVL Sizing for Optimal Results

Drs. Secemsky and Siah pivot the discussion specifically to peripheral IVL sizing in Part 2. They detail appropriate IVL sizing (oversizing by 10% vs the healthy reference vessel diameter), the clinical data supporting oversizing by 10%, and how they go about sizing appropriately.

Size for Success Part 3: Putting Optimal Peripheral IVL Sizing Into Action – Case Review

In part 3, the learnings of the peripheral IVL discussion are brought to life through three separate case reviews. Drs. Secemsky and Siah detail their peripheral IVL sizing technique in their overall treatment approach of patients with bilateral iliac disease, common femoral disease, and end with a complex below-the-knee case.