Skip to main content
2026 SVS Annual Meeting Main banner
Icon Legend
This session is not in your schedule.
This session is in your schedule. Click again to remove it.
Presentation Icons
Ticket Required
Ticket Required
AI Presentation
AI Presentation
Hot Topic
Hot Topic
Taste of Boston
Taste of Boston

"How I Do It" Video Session

VH07 - How I Do It: Shockwave Javelin Forward-Facing Lithotripsy as a Leading Device

Thursday, June 11, 2026
2:30 PM - 2:39 PM ET
Location: Hynes CC, Third Level, Ballroom A

    Submitting & Presenting Author(s)

  • Keyuree Satam, MD, MS

    Resident
    Stanford University Hospital and Clinics
    Redwood City, California

    • Co-Author(s)

  • Arash Fereydooni, MD, MS

    Vascular Surgery Resident
    Stanford University
    Redwood City, California

  • SA

    Shaunak Adkar

    Vascular Surgery Resident
    Stanford University School of Medicine
    Palo Alto, California

  • Jason T. Lee, MD

    Professor and Chief of Vascular Surgery
    Stanford Health Care
    Stanford, California

    • Senior Author(s)

  • Kenneth Tran, MD

    Clinical Assistant Professor
    Stanford University
    Palo Alto, California

Summary: In this How I Do It video, we demonstrate a novel technique using the Shockwave Javelin forward-facing intravascular lithotripsy catheter as a leading device to achieve true lumen crossing of complex lower-extremity chronic total occlusions. Through three CLTI cases, we show how forward-directed lithotripsy can penetrate heavily calcified proximal caps without initial wire access, enabling antegrade true lumen revascularization. This approach may reduce reliance on pedal access or subintimal strategies while optimizing vessel preparation and clinical outcomes.