24Fr TEVAR 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 TEVAR graft safely delivered and deployed through iliac artery with no complications.
Pre-Procedure
![pad case2a](https://shockwavemedical.com/wp-content/uploads/2018/12/pad_case2a.png)
Shockwave IVL
![pad case2b](https://shockwavemedical.com/wp-content/uploads/2018/12/pad_case2b.png)
Post-IVL
![pad case2c](https://shockwavemedical.com/wp-content/uploads/2018/12/pad_case2c.png)
Post 24Fr TEVAR
![pad case2d](https://shockwavemedical.com/wp-content/uploads/2018/12/pad_case2d.png)