Peripheral intravascular lithotripsy in transcatheter aortic valve implantation: a case report.

ABSTRACT:

Background

The presence of severe calcific atherosclerosis at the iliofemoral axis may preclude transcatheter aortic valve replacement (TAVR) by the transfemoral (TF) approach. Intravascular lithotripsy (IVL) is a novel technology that fractures intimal/medial calcium, increasing vessel compliance and enabling TF-TAVR in selected patients with peripheral artery disease.

Case summary

A 76-year-old female presented with severe degenerative calcific aortic valvular stenosis. The patient was planned for TAVR due to high surgical risk status. However, computed tomography analysis revealed significant aortoiliac calcific narrowing, which limited TF access. Intravascular lithotripsy was performed to modify the calcific stenosis in the aortoiliac region, after which TAVR was success

SUBMITTER: Bhastana VJ 

PROVIDER: S-EPMC11983100 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature