Extreme CLTI

Explore extreme CLTI in this PVI 2025 session replay, starting with retrograde recanalisation of complex CTOs. A prospective registry reports high acute technical success with acceptable access-related complication rates. 

Male sex, CLTI and previous open vascular surgery of the index leg are linked to technical failure, while sheath usage is the only significant predictor of access-related complications. 

Retrograde use of re-entry devices further expands endovascular possibilities, even in cases once considered unsuitable—though long-term follow-up data are still lacking. 

The session also tackles below-the-ankle disease, noting its high prevalence: despite technically demanding procedures and frequent early restenosis, endovascular treatment can still achieve clinical benefit when patients are carefully selected.

Watch now to find out more!