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Deep Dive Lab

Ticketed Event
Deep Dive

Deep Dive: Advanced Endovascular Strategies for Critical Limb Threatening Ischemia (CLTI)

Saturday, April 11, 2026
1:00 PM - 4:00 PM ET

Note: Tickets are required to attend. Add the Deep Dive to your SIR 2026 meeting experience during the registration process.

This intensive, case-based course provides practicing interventional radiologists with advanced strategies in the evaluation and endovascular management of critical limb-threatening ischemia (CLTI). Emphasis is placed on complex anatomy, chronic total occlusions (CTOs), below-the-ankle/pedal loop revascularization, deep venous arterialization for the “no-option” patient, and considerations for hybrid/multidisciplinary approaches. Through interactive lectures, live case reviews, technical pearls, and hands-on skills lab, participants will develop expertise in decision-making, advanced device techniques, complication management, and optimizing complex limb salvage outcomes.

Learning Objectives:

  • Recognize and classify CLTI: Apply updated Global Vascular Guidelines (GVG), WIfI (Wound, Ischemia, foot Infection) staging, and imaging criteria to risk stratify patients.
  • Master advanced crossing strategies: Compare and employ antegrade, retrograde, transcollateral, pedal, and combined access techniques for complex infrainguinal occlusions.
  • Optimize below-the-knee and pedal interventions: Select devices and techniques for infrapopliteal revascularization, pedal loop reconstruction, and below-the-ankle interventions.
  • Understand the principles and patient selection for deep venous arterialization (DVA). Perform technical steps of DVA: crossing into the venous system, outflow creation, and adjunctive therapies.
  • Integrate new technologies: Assess evidence and best practices for drug-coated balloons, drug-eluting stents, atherectomy, intravascular lithotripsy, microcatheters, and specialty wires in CLTI.
  • Manage complications: Anticipate and treat dissection, perforation, embolization, and no-reflow syndromes in high-risk tibial and pedal interventions.
  • Incorporate a multidisciplinary approach: Incorporate opportunities to collaborate with other CLTI specialties including vascular surgery, podiatry, wound care, and infectious disease to maximize limb salvage and patient outcomes.
  • Evaluate real-world cases: Apply advanced endovascular strategies through interactive review of complex case scenarios, including bailout and hybrid solutions.

Presentations:

  • 1:00 PM - 1:15 PM ET
    CLTI Management – Data & Guidelines

    Speaker: Luke R. Wilkins, MD, FSIR – University of Virginia

  • 1:15 PM - 1:30 PM ET
    Endovascular Treatment of CFA Disease: Data & Interventions

    Speaker: Timothy W.I Clark, MD, FSIR, MS – University of Pennsylvania; Penn Presbyterian Medical Center

  • 1:30 PM - 1:45 PM ET
    SFA 1 – Native, Heavily Calcified

    Speaker: Brian J. Schiro, MD – Miami Cardiac & Vascular Institute / Radiology Associates of South Florida

  • 1:45 PM - 2:00 PM ET
    SFA 2 – Prior Open/endovascular Interventions, Occluded Bypasses or Stents

    Speaker: Ansar Z. Vance, MD, MS – University of Pennsylvania

  • 2:00 PM - 2:15 PM ET
    Non-aneurysmal Popliteal Disease Management

    Speaker: Raisa Durrani, MD – Wake Forest University Baptist Medical Center

  • 2:15 PM - 2:30 PM ET
    Tibial Interventions

    Speaker: Amy C. Taylor, MD, MBA (she/her/hers) – University of Virginia

  • 2:30 PM - 2:45 PM ET
    Below-the-ankle Interventions

    Speaker: Srini Tummala, MD, FSIR – FVS

  • 2:45 PM - 3:00 PM ET
    New Frontiers: Deep Venous Arterialization and Percutaneous Transmural Arterial Bypass

    Speaker: Nicholas Petruzzi, MD, FSIR – Vascular Institute of Atlantic Medical Imaging

  • 3:00 PM - 3:15 PM ET
    Wound Care in the IR Clinic

    Speaker: Kumar Madassery, MD – Rush University Medical Center, Rush Oak Park

  • 3:15 PM - 4:00 PM ET
    Hands-on Lab/simulations

    Speaker: Mike Watts, MD, FSIR – Atlantic Medical Imaging

    Co-Speaker: Yolanda Bryce, MD – Memorial Sloan Kettering Cancer Center

    Speaker: Geogy Vatakencherry, MD, FSIR – Kaiser Permanente physician

    Speaker: Assaf Graif, MD (he/him/his) – ChristianaCare

    Speaker: Christopher J. Grilli, DO, FSIR – Christiana Care

    Co-Speaker: Sabeen Dhand, MD – Harbor UCLA Medical Center