Key result
Intravascular lithotripsy-assisted transfemoral TAVI achieved a 100% success rate for device delivery in 50 patients with severe calcified iliofemoral disease, with no major vascular complications.
Why the study?
Intravascular lithotripsy has enabled transfemoral TAVI in patients with calcified iliofemoral disease, prompting the need for a comprehensive overview of planning, procedural aspects, outcomes, and literature.
Does intravascular lithotripsy facilitate successful transfemoral TAVI in patients with severe calcified iliofemoral disease?
Design
Single-center experience and literature review
Authors
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May support IVL for transfemoral TAVI in severe iliofemoral calcification; hypothesis-generating and requires prospective trials before practice change.
Observational (n=50)
No
Does intravascular lithotripsy facilitate successful transfemoral TAVI in patients with severe calcified iliofemoral disease?
Intravascular lithotripsy is a safe and effective method for vessel preparation to facilitate transfemoral TAVI in patients with severe iliofemoral calcifications, avoiding the need for alternative access routes.
Sawaya et al. (2021) conducted an observational in Severe aortic valve stenosis with calcified iliofemoral disease (n=50). Intravascular Lithotripsy (IVL)-assisted Transfemoral TAVI was evaluated on Successful transfemoral delivery of TAVI device. Intravascular lithotripsy-assisted transfemoral TAVI achieved a 100% success rate for device delivery in 50 patients with severe calcified iliofemoral disease, with no major vascular complications.
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