Pre-TAVR/TAVI IVL in Calcified Iliacs

Brian Kolski, MD, St. Joseph Hospital
85 year old woman with critical aortic stenosis and severe rest pain. Not a surgical candidate due to lung disease. Calcified near-occlusion of distal aorta and no transcaval or subclavian access option available. 7.0mm x 60mm Shockwave IVL delivered to bilateral iliac arteries. Post-IVL safe passage of a 26mm Medtronic Evolut R TAVR/TAVI device followed by endovascular femoral repair. Patient discharged the following day.
Pre-Procedure
Bilateral IVL
Pre-TAVR/TAVI

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