CRUSH PAD: Real-world Outcomes Following Use of the Shockwave Intravascular Lithotripsy (IVL) Technology in Calcified Common Femoral Lesions

Eligibility Criteria

• * Subjects presenting with claudication or CLI by Rutherford Clinical Category 2, 3, 4, 5, or 6 of the target limbs
• * Subject is a suitable candidate for angiography and endovascular intervention per the latest clinical guidelines
• * Patient is scheduled to undergo treatment with Shockwave Intravascular Lithotripsy (IVL) technology followed by standard of care treatment with DCB, BMS, DES at the physician's discretion.
• * Target lesion that is located in a native, de novo common femoral artery
• * Target lesion reference vessel diameter is between 4.0mm and 7.0mm by visual estimate.
• * Target lesion is ≥70% stenosis by investigator via visual estimate.
• * Target lesion length is ≤50mm for lesions 70-99% stenosed. Target lesion can be all or part of the 50mm treated zone.
• * Chronic total occlusion, lesion length is ≤50mm of the total ≤50 mm target lesion.
• * Patient has open profunda femoris artery for the target leg, defined as no stenosis \>50%.
• * Calcification is at least moderate defined as presence of fluoroscopic evidence of calcification: 1) on parallel sides of the vessel and 2) extending \> 50% the length of the lesion if lesion is ≥50mm in length; or extending for minimum of 20mm if lesion is \<50mm in length.
• * Subjects with any medical condition that would make him/her an inappropriate candidate for treatment with Shockwave Medical Peripheral Lithoplasty® System as per Instructions for Use (IFU) or investigator's opinion.
• * Subject is already enrolled in other investigational (interventional) studies that would interfere with study endpoints.
• * Cognitive impairment as documented in medical records
• * Not speaking English or Spanish
• * Currently a prisoner
• * Pregnancy or nursing
• * Estimated survival less than 12 months at the time of screening
• * Prior history of CFA endarterectomy