
Topic
Claudication
Podcasts
Vascular & IR # 692Nov 13, 2026Understanding Laser Atherectomy in Calcified Peripheral Artery Disease

Half or more of the femoropopliteal lesions Dr. Nicolas Shammas treats are moderately to severely calcified, the kind that turn a routine case into recoil, dissection, and a stent no one planned to place. On this episode of the BackTable Podcast, Dr. Neil Jain welcomes back Dr. Shammas, an interventional cardiologist in Davenport, Iowa, and president and research director of the Midwest Cardiovascular Research Foundation, to talk about laser atherectomy in heavily calcified peripheral artery disease (PAD). Dr. Shammas explains his workup with duplex, CT angiography, and intravascular ultrasound (IVUS), how decades of vessel prep trials shaped his device choices, and how a 355 nm laser with a very short pulse delivers enough power to cross calcium while limiting thermal injury beyond the catheter tip.
Cardiology # 49Aug 25, 2026Aortoiliac Arterial Disease Treatment

How do you decide between a dedicated aortic scaffold and kissing stents in complex aortoiliac bifurcations? On this episode of the BackTable Podcast, Dr. Sabeen Dhand and Dr. Eric Secemsky discuss the management of a female smoker presenting with rapidly progressive bilateral hip pain, ultimately revealed to be severe aortoiliac arterial disease. The case highlights the value of noninvasive vascular studies, CTA, and IVUS for precise diagnosis and procedural planning, as well as the nuanced decision-making process between different device options.
Vascular & IR # 667Jul 31, 2026Aortoiliac Arterial Disease Treatment

How do you decide between a dedicated aortic scaffold and kissing stents in complex aortoiliac bifurcations? On this episode of the BackTable Podcast, Dr. Sabeen Dhand and Dr. Eric Secemsky discuss the management of a female smoker presenting with rapidly progressive bilateral hip pain, ultimately revealed to be severe aortoiliac arterial disease. The case highlights the value of noninvasive vascular studies, CTA, and IVUS for precise diagnosis and procedural planning, as well as the nuanced decision-making process between different device options.
Vascular & IR # 470Aug 6, 2024Updated Guidance on Paclitaxel-Coated Devices

The use of drug-coated balloons (DCBs) for peripheral arterial disease has been controversial in the past. However, new data and updated FDA guidance have helped these devices regain popularity. In this episode of the BackTable Podcast, Dr. Ally Baheti hosts a discussion with Dr. Sahil Parikh, an interventional cardiologist in New York City, and Dr. John Park, a vascular surgeon in Omaha.
Vascular & IR # 200Apr 14, 2022PAD Stenting Algorithm

We talk with Dr. Luke Wilkins about his stenting algorithm for treating peripheral artery disease, including a step by step discussion of the decision tree when deciding whether or not to stent.