Abstract
Transfemoral approach is considered the preferred route to perform transcatheter aortic valve implantation (TAVI) by most operators due to the low invasiveness and good outcome, as compared to non-transfemoral approach. However, transfemoral access is not always feasible particularly in patients with small and calcific vessels. Recently, catheter-based lithoplasty has emerged as a new technique based on the use of circumferential pulse pressure waves to disrupt calcific plaques. This technology may help to expand eligibility for transfemoral TAVI to patients with calcific ileo-femoral vessels and at high risk for non-transfemoral approach. We present the case of an 87-year-old woman with poor vascular access who successfully underwent transfemoral TAVI following lithoplasty of iliac artery.
Original language | English |
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Journal | Catheterization and Cardiovascular Interventions |
DOIs | |
Publication status | Accepted/In press - Jan 1 2018 |
Keywords
- IVUS
- lithoplasty
- lithotripsy
- transfemoral TAVI
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine