Deep Dive 2026

Deep Dive Lab

Ticketed Event

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

Hands-on lab/simulations

Saturday, April 11, 2026

3:15 PM - 4:00 PM ET

Speaker(s)

Varshana Gurusamy, MD

Attending Physician
MD Anderson Cancer Center, United States
MW

Micah Watts, MD, FSIR
YB

Yolanda Bryce, MD

MSKCC, United States
GV

Geogy Vatakencherry, MD, FSIR

Program Director of Vascular and Interventional Integrated Residency
Kaiser Permanente physician, United States
Assaf Graif, MD (he/him/his)

Attending Physician
ChristianaCare, United States
CG

Christopher J. Grilli, DO

Attending Physician
Christiana Care, United States
Sabeen Dhand, MD

Interventional Radiologist
Los Angeles Imaging and Interventional Consultants, United States

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.