Pre-Tavi

IVL opens calcified iliacs to enable passage of TAVi device

This patient was an 85-year-old woman with critical aortic stenosis and severe rest pain. This patient was not a surgical candidate due to lung disease. She had a calcified near-occlusion of distal aorta and no transcaval or subclavian access option available. Shockwave M⁵ was delivered to both iliacs and IVL therapy was used, allowing the safe passage of a 26mm Metronic Evolut R TAVI device, followed by endovascular femoral repair. The patient was discharged the next day.

Pre-Procedure

Bilateral IVL

Pre-TAVI

Case courtesy of Dr. Brian Kolski

IVL-assisted TF TAVI Proved to be Safe and Effective

European Registry: IVL to Facilitate Transfemoral TAVI

Design

To report on the safety and efficacy of IVL-assisted TF TAVI in an all-comers population

Prospective, real-world, multi-center registry
All patients treated by IVL-assisted TF TAVI ’18 - ’20

6

High-volume European centers

108

Patients

4.6 ± 0.9mm w/ 318° of calcium

TL-MLD

Results: High Success, Low Complications

IVL has helped to expand the indications for TF TAVI in patients with severe calcific PAD

Transfemoral TAVI (%)

IVL-Assisted TAVI (%)

Nardi & De Backer et al. Peripheral intravascular lithotripsy of iliofemoral arteries to facilitate transfemoral TAVI: a multicentre prospective registry. EuroIntervention 2021;17-online publish-ahead-of-print November 2021.

Hear How Shockwave IVL Has Helped Keep TAVI Transfemoral

Intravascular Lithotripsy: Expanding the Boundaries of Transfemoral TAVI at PCR London Valves 2021

Hear Dr. Dawkins, Dr. De Backer and Dr. Di Mario’s experience with IVL-assisted transfemoral TAVI.

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Enable First-Choice Transfemoral TAVI

Hear from Prof. Carlo Di Mario about how IVL has lowered his use of alternative TAVI access.

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IVL Pre-TAVI Tutorial Series

Learn from Dr. Ole De Backer on the challenges of transfemoral TAVI, and how IVL’s mechanism of action can assist in this five-part series.

How can Intravascular Lithotripsy (IVL) facilitate transfemoral TAVI access

Learn how IVL’s unique mechanism of action and help mitigate risk and simplify calcified hostile transfemoral access.

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How hard should we work to maintain transfemoral access

Learn how the boundaries of Transfemoral access have expanded and why physicians can now tackle difficult Transfemoral over alternative access options.

PUBLICATIONS

A Prospective Registry of Intravascular Lithotripsy-Enabled Vascular Access for Transfemoral Transcatheter Aortic Valve Replacement, Di Mario et al, JACC Interventions, March 2019.