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Similar Publications

Stay Calm and Carry On With Intravascular Lithotripsy-Assisted Transfemoral-TAVR in Patients With Calcific-Iliofemoral Artery Disease?

JACC Cardiovasc Interv

October 2024

The Heart Center, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

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Characteristics, Trends, and Outcomes of Intravascular Lithotripsy-Assisted Transfemoral Transcatheter Aortic Valve Replacement in United States.

JACC Cardiovasc Interv

October 2024

Lifespan Cardiovascular Institute, Providence, Rhode Island, USA; Department of Medicine, Division of Cardiology, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA. Electronic address:

Background: Transfemoral (TF) access is the preferred approach for transcatheter aortic valve replacement (TAVR). Limited data exist regarding the outcomes of intravascular lithotripsy (IVL)-assisted TF TAVR in patients with peripheral artery disease.

Objectives: This study sought to examine contemporary characteristics, trends, and outcomes of IVL TAVR in the United States.

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Objectives: Calcific peripheral artery disease (PAD) is a common finding in patients scheduled for transcatheter aortic valve implantation (TAVI) and often requires iliofemoral axis preparation. However, evidence about the use of intravascular lithotripsy (IVL) in this setting is scarce. The aim of this study was to describe in-hospital and mid-term outcomes of IVL-assisted transfemoral (TF)-TAVI in patients with severe calcific PAD.

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Article Synopsis
  • Transfemoral transcatheter aortic valve implantation (TAVI) is now the primary treatment for severe aortic stenosis, and intravascular lithotripsy (IVL-TAVI) can improve access for patients with severe iliofemoral calcifications.
  • A study comparing IVL-TAVI (30 patients) to traditional transaxillary access (TAX-TAVI, 44 patients) showed that IVL-TAVI had higher technical success (93.3% vs 81.8%) and lower safety complications (10.0% vs 31.8%).
  • The findings suggest that IVL-TAVI is a safe and effective method for patients previously deemed ineligible for transfemoral access
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Intravascular Lithotripsy Assisted Carotid Stent Expansion.

J Endovasc Ther

June 2024

Division of Vascular Surgery, Medical University of South Carolina, Charleston, SC, USA.

Purpose: Carotid stenting has been demonstrated to effectively reduce the risk of stroke in appropriately selected patients. However, application of carotid artery stenting remains limited in the setting of heavily calcified disease.

Case Report: We present here 3 patients, who were treated with intravascular lithotripsy of the internal and common carotid arteries.

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