Is vascular lithotripsy on a femoral lesion an effective and safe means of plaque ablation? any better than atherectomy or endarterectomy?

Not likely: The risk of embolization is too high with this procedure. See your internal medicine specialist.

No: There is no role for lithotripsy in the treatment of peripheral arterial disease. Lithotripsy is a procedure primarily designed to break up kidney stones. If the procedure were used on arteries, the fragments might break off and further damage arteries downstream. The treatment for atherosclerotic related arterial disease includes medical management, the minimally invasive procedures you mentioned, and open procedures. Experienced vascular surgeons can offer all three methods.