Expanding Treatment Boundaries in Calcified PAD

Published: 26 September 2022

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Filmed at VIO 2022, this fascinating, interactive and educational breakout session is now available to view on demand.


Moderator Maria Antonella Ruffino (Regional Hospital of Lugano, CH) leads international panellists, Dr Lorenzo Patrone (London North West Healthcare NHS Trust, UK), Dr Stefano Fazzini (University of Rome, IT) and Dr Narayanan Thulasidasan (Guys and St Thomas NHS Foundation Trust, UK), who discuss the Expanding Treatment Boundaries in Calcified PAD and how Intravascular Lithotripsy (IVL) can impact your day-to-day clinical practice.


We begin this session with a presentation from Dr Lorenzo Patrone, where he discusses how data impacts daily practice in Tackling Multi Level Calcified PAD. Following this, Dr Narayanan Thulasidasan presents on IVL in No Stent Zones, with focus on the limited assessment of tibial arteries due to heavy wall calcification of the patient. 


Lastly, Dr Stefano Fazzini presents from a vascular surgeon's perspective on Rethinking our Approach to Large Vessel Calcium. 

This breakout is sponsored by Shockwave Medical.

Upon participation in this programme, physicians will be able to:

  • Understand there is data to support the application of peripheral IVL
  • Understand how IVL’s unique mechanism of action changes vessel compliance.
  • Learn how IVL technology enables physicians to preserve patients treatment options.

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Faculty Biographies

Maria Antonella Ruffino

Maria Antonella Ruffino

Vascular Interventional Radiologist

Dr Maria Antonella Ruffino is on the editorial board for Vascular and Endovascular Review Journal. Maria Antonella Ruffino, MD, EBIR, is a Vascular Interventional Radiologist, Head of the Department of Interventional Radiology at the Institute of Imaging of Southern Switzerland, in the Regional Hospital of Lugano. She earned her medical degree from University of Torino Medical School and completed residency in Diagnostic Imaging and Interventional Radiology at University of Torino Medical School and a second level university master in Interventional Neuroradiology from Università Vita – Salute, San Raffaele Hospital in Milan, Italy.


Dr Ruffino performs as a first operator EVAR, TEVAR, Ch/B/FEVAR, peripheral aneurysms…

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Lorenzo Patrone

Lorenzo Patrone

Vascular and Interventional Radiology Consultant

Dr Lorenzo Patrone is a Vascular and Interventional Radiology Consultant, based in London (UK). After having finished his training in Interventional Radiology and having worked for one year in his home town in Genoa (Italy), since January 2016 he works in a newly created and innovative Department where Vascular Surgery and Interventional Radiology have been merged under the name of West London Vascular and Interventional Centre. Since then, he has been able to have a role as hybrid vascular specialist. Together with operating endovascularly on a wide range of patients, he started running regular vascular clinics and ward rounds for the vascular in-patients. His main focus is lower limb recanalisation and diabetic foot management. Moved by a true passion in teaching, he has published and presented widely on his innovative mini-invasive techniques, being involved in collaborative research, trials and endovascular training. 

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Narayanan Thulasidasan

Narayanan Thulasidasan

Consultant Interventional Radiologist

Dr Narayanan Thulasidasan is a consultant interventional radiologist at at Guy’s and St Thomas’ NHS Foundation Trust, London, UK. Narayanan has authored or co-authored several articles published in leading peer-reviewed journals, has lectured widely, and has served as a speaker at several leading international vascular events.

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Stefano Fazzini

Stefano Fazzini

Vascular Surgeon

Dr Stefano Fazzini is vascular surgeon trained in all areas of vascular and endovascular surgery, focusing on complex aortic disease and peripheral artery disease. He completed his fellowship and PhD at Sapienza University of Rome. In 2010 he joined the clinical staff at San Filippo Neri Hospital in Rome, and then he moved to Muenster, Germany, as visiting researcher from Sapienza University of Rome (2019-2020). Since 2020 he is part of the Vascular Surgery of Tor Vergata University of Rome as researcher and consultant of Vascular Surgery. He authored many peer-reviewed journal articles, abstracts, and book chapters. He teaches medical students, residents, and fellows about vascular disease management and gave hundreds of presentations at international/national congresses and symposia.

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