Cardiovascular and Interventional Radiological Society of Europe
OnlineCIRSE Academy coursesArterial Intervention - online coursesEndovascular therapy below the knee and pedal – online course

Endovascular therapy below the knee and pedal – online course


Please note that this course is no longer CME accredited.

Authors: K. Katsanos and S. Spiliopoulos

Reviewers: D. Filippiadis, M. Tsitskari, S. Müller-Hülsbeck, A. Krajina and C. Nice

This course caters to specialist learners with advanced knowledge in IR.



Below the knee and pedal arterial disease are major causes of limb loss. Both endovascular and surgical revascularisation are efficient treatment options, therefore optimal therapy requires individualised decisions made by a multidisciplinary team. This course will provide an overview of infrapopliteal artery endovascular procedures, including patient selection, pre-procedural requirements, advanced tibial and pedal revascularisation techniques, post-procedural care and follow up. Below the knee and pedal arterial disease are major causes of limb loss. Both endovascular and surgical revascularisation are valid treatment options and individualised decisions for optimal therapy are required by a multidisciplinary team. This module gives all the necessary information on advanced infrapopliteal endovascular interventions, by providing an in-depth analysis of the pathophysiology, risk factor modification, treatment indications, endovascular recanalisation techniques, post-procedural patient management and follow up. Additionally, outcomes of below the knee and pedal angioplasty, including complications and their management, are discussed. After the completion of this module, the reader will be able to support the value and recognise the optimal setting required for advanced infrapopliteal endovascular treatment.


Learning objectives

  • List the risk factors associated with crural and pedal ischaemia.
  • Recognise the pathophysiology and anatomy of the infrapopliteal arterial system and its collateral pathways.
  • Describe the indications and contraindications for endovascular revascularisation and indicate the optimal treatment plan.
  • Arrange the set up necessary for infrapopliteal endovascular treatment.
  • Recognise the appropriate endovascular material in order to perform below the knee and pedal arch angioplasty. Demonstrate the appropriate technique for endovascular recanalisation.
  • Justify the performance of pedal arch angioplasty.
  • Arrange the necessary post-procedural care and follow up scheme.
  • Describe the outcomes and complications of BTK percutaneous revascularisation.


Further information

This course is designed for specialists, whom have extensive medical experience, having seen at least 200 patients in clinic and completed at least 250 advanced IR procedures in addition to the 150 basic procedures.

The format of the course is interactive and easy to use, including texts, graphics, videos and a quiz to support your learning. The course duration is around one hour.

The enrolment period of this course is linked to the validity of the All-Access Pass.

Release date: January 2020