Advertisement
Heart, Lung and Circulation

Using Intravascular Lithotripsy to Facilitate Transfemoral Arterial Access for Transcatheter Aortic Valve Implantation

Published:August 16, 2022DOI:https://doi.org/10.1016/j.hlc.2022.07.016
      Peripheral vascular assessment is important in pre-procedural planning for transcatheter aortic valve implantation (TAVI). While alternative vascular access sites have been used in patients with hostile iliofemoral anatomy, femoral access has been established as the superior access method for procedural outcomes. Intravascular lithotripsy (IVL) can facilitate transfemoral access for TAVI in patients with calcific stenoses of the iliofemoral arteries. This How-To-Do-It article describes the procedural planning and methods for performing IVL in these patients.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Heart, Lung and Circulation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Blackstone E.H.
        • Suri R.M.
        • Rajeswaran J.
        • Babaliaros V.
        • Douglas P.S.
        • Fearon W.F.
        • et al.
        Propensity-matched comparisons of clinical outcomes after transapical or transfemoral transcatheter aortic valve replacement: a placement of aortic transcatheter valves (PARTNER)-I trial substudy.
        Circulation. 2015; 131: 1989-2000
        • Otto C.M.
        • Nishimura R.A.
        • Bonow R.O.
        • Carabello B.A.
        • Erwin J.P.
        • Gentile F.
        • et al.
        2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
        Circulation. 2021; 143: e72-e227
        • Auffret V.
        • Lefevre T.
        • Van Belle E.
        • Eltchaninoff H.
        • Iung B.
        • Koning R.
        • et al.
        Temporal trends in transcatheter aortic valve replacement in France: FRANCE 2 to FRANCE TAVI.
        J Am Coll Cardiol. 2017; 70: 42-55
        • Faroux L.
        • Junquera L.
        • Mohammadi S.
        • Del Val D.
        • Muntané - Carol G.
        • Alperi A.
        • et al.
        Femoral versus nonfemoral subclavian/carotid arterial access route for transcatheter aortic valve replacement: a systematic review and meta - analysis.
        J Am Heart Assoc. 2020; 9: e017460
        • Greenbaum Adam B.
        • Babaliaros Vasilis C.
        • Chen Marcus Y.
        • Stine Annette M.
        • Rogers T.
        • O’Neill William W.
        • et al.
        Transcaval access and closure for transcatheter aortic valve replacement.
        J Am Coll Cardiol. 2017; 69: 511-521
        • Armstrong E.J.
        • Soukas P.A.
        • Shammas N.
        • Chamberlain J.
        • Pop A.
        • Adams G.
        • et al.
        Intravascular lithotripsy for treatment of calcified, stenotic iliac arteries: a cohort analysis from the Disrupt PAD III study.
        Cardiovasc Revasc Med. 2020; 21: 1262-1268
        • Tepe G.
        • Brodmann M.
        • Werner M.
        • Bachinsky W.
        • Holden A.
        • Zeller T.
        • et al.
        Intravascular lithotripsy for peripheral artery calcification.
        JACC Cardiovasc Interv. 2021; 14: 1352-1361
        • Sawaya F.J.
        • Bajoras V.
        • Vanhaverbeke M.
        • Wang C.
        • Bieliauskas G.
        • Søndergaard L.
        • et al.
        Intravascular lithotripsy-assisted transfemoral TAVI: the Copenhagen experience and literature review.
        Front Cardiovasc Med. 2021; 8