Impressive results.
Your new REALITY.

The REALITY Study, sponsored by the VIVA physicians, demonstrates how the use of the HawkOne™ directional atherectomy system, followed by the IN.PACT™ Admiral™ drug-coated balloon (DCB), can help achieve positive patient outcomes in treating peripheral artery disease (PAD).

HawkOne™ directional atherectomy system

HawkOne™ directional
atherectomy system

IN.PACT™ Admiral™ drug-coated balloon on transparent background

IN.PACT™ Admiral™
drug-coated balloon


Lesion characteristicsꝉ1:

  • 86.2% bilateral calcium [PACSS 3+4]

  • 67.6% bilateral calcium ≥ 5 cm [PACSS 4]

  • 17.9 cm average lesion length

  • 39.0% chronic total occlusions at baseline



Outcomes in complex, long, heavily calcified lesions1:


8.8% bailout stent rate
14.0% 30-day major adverse events
76.7% 12-month patency

Data reported includes patients beyond the follow-up window.

92.6% 12-month freedom from clinically driven target lesion revascularization (CD-TLR) 

Data reported includes patients beyond the follow-up window.


The REALITY Study was independently sponsored and conducted by the VIVA physicians. The study prospectively enrolled 102 participants whose treatment outcomes were independently adjudicated by angiographic and duplex ultrasound core labs and a clinical events committee. The research was funded by Medtronic through the manufacturer’s external research program (ERP).



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