IVL opens calcified iliacs to enable passage of TAVi device

This patient was an 85-year-old woman with calcified iliacs and severe rest pain. This patient was not a surgical candidate due to lung disease. She had 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 TAVR device, followed by endovascular femoral repair. The patient was discharged the next day.


tvar pre procedure 1

Bilateral IVL

bilateral xray progression


pre tavr xray progression
Case courtesy of Dr. Brian Kolski

IVL-assisted TF TAVI Proved to be Safe and Effective

European Registry: IVL to Facilitate Transfemoral TAVI


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
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High-volume European centers
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4.6 ± 0.9mm w/ 318° of calcium

Results: High Success, Low Complications

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

Transfemoral TAVI (%)

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IVL-Assisted TAVI (%)

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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.


A Prospective Registry of Intravascular Lithotripsy-Enabled Vascular Access for Transfemoral Transcatheter Aortic Valve Replacement, Di Mario et al, JACC Interventions, March 2019.
Read More
intravascular lith pdf
Intravascular Lithotripsy-Assisted Transfemoral TAVI: The Copenhagen Experience and Literature Review, De Backer et al, Frontiers in Cardiovascular Medicine, September 2021.
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Peripheral intravascular lithotripsy pdf
Peripheral intravascular lithotripsy for transcatheter aortic valve implantation: a multicentre observational study, Nardi et al, Eurointervention, April 2022.
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shockwave on the plus sign

On The +Plus Side

See how the faster, further, larger Shockwave M5+ can help treat your patients with calcified PAD

Shockwave M5+ IVL catheter

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