Zero contrast atherectomy and endovascular treatment of multi-level femoropopliteal disease

This is a challenging case of a patient with severe claudication due to multi-level disease expanding from the common iliac up to the popliteal artery. The treatment includes the use of directional atherectomy for vessel preparation and DCB as antiproliferative therapy. The whole procedure is performed with CO2-angiography instead of contrast agent in order to avoid acute kidney injury. Learn also the best approach to treat patients with a multi-level disease, i.e. which lesion first.