After attending this session, participants should be able to:

• Treat complex chronic total occlusions in tibial and pedal arterial vessels in the patient with CLI.
• Describe tips and tricks for safe and effective surgical and endovascular treatment of CLI from access to closure.
• Describe current wire, catheter, balloon, crossing, atherectomy, re-entry, and closure devices available for treatment of CLI, and describe mechanism of action and when most appropriate to utilize.