Treatment of a severely calcified lesion with Supera and balloon-expandable stents

This case shows step by step the treatment of a severely calcified lesion in the SFA. The video includes the recanalization of the lesion with use of different support catheters and wires, solutions for the subintimal course of the wire, intraoperative AV fistula, vessel preparation and the use of a balloon-expandable stent with a Supera stent for lumen gain.


    Excellent results. May i ask about the total duration of the procedure? I also noticed a continuous withdrawal of the nose-cone of the supera stent system during deployment. Is this a maneuver you prefer?

    Dr. Theodosios Bisdas
    June 2, 2018

    Thank you Stratos for the comment. The total duration was about 1 hour. Of course, the most challenging part was the recanalization. Regarding your second question, the nose cone is moved through the advancement of the thumb slide. By advancing the thumb slide the outer sheath retracts proximally and the stent is deployed. Actually, the full advancement of the thumb slide is prespecified by the manufacturer and allows the deployment of a short section of the stent. I prefer short thumb slide advancement at the beginning of the stent implantation and full thumb slide advancement afterward.

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