24Fr TAVR/TAVI Delivery Through Calcified Iliacs

David Caparrelli, MD, Catholic Medical Center
Pre-procedure angiogram shows extensive calcification and tight stenoses distal to existing AAA graft. 7.0 x 60mm Shockwave IVL delivered to left iliac artery. Post-IVL angiogram demonstrates suitable access diameter. 24Fr Medtronic Valiant TAVR/TAVI graft safely delivered and deployed through iliac artery with no complications.
Pre-Procedure
Shockwave IVL
Post-IVL
Post 24Fr TAVR/TAVI

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