Mary Costantino

Interventional radiologist at Advanced Vascular Centers specializing in complex peripheral artery disease and novel therapies; describes clinical experience integrating spinal cord stimulation for no-option CLTI and leads patient care and program development in that area.

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Mar 13, 2026 • 42min

Ep. 624 Integrating Spinal Cord Stimulation in Vascular Disease Management for CLTI with Dr. Mary Costantino and Jill Sommerset

Jill Sommerset, vascular technologist and clinical education lead, and Dr. Mary Costantino, interventional radiologist specializing in complex peripheral artery disease, discuss spinal cord stimulation for no-option CLTI. They cover ultrasound mapping and pedal acceleration time, immediate perfusion changes during trial stimulation, practical barriers to permanent implants, comparisons to deep venous arterialization, and the need for larger studies.

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