Calcified Iliac Treatment Prior to AAA Graft Delivery

Prior to the placement of a stent graft this patient was found to have a 4-6cm, 80-90% calcific stenosis in both iliac arteries making the physician unable to place a AAA graft. An 8.0mm Shockwave M5+ was used in both iliacs to modify the calcium and change vessel compliance. After IVL therapy a 20Fr. AAA graft was able to be safely delivered.

Diagnostic Angiogram

Diagnostic Angiogram evar
Iliac reference vessel diameter > 8mm 80-90% stenosed lesion length 4-6cm circumferential calcium

IVL Therapy

IVL Therapy evar
8 x 60mm Shockwave M5+ 150 pulses to both sides

AAA Graft Delivered

aaa graft evar
20 Fr. AAA graft safely delivered

Final Angiogram

final angio evar
>20% residual stenosis, no dissections, no embolization
Case courtesy of Dr. Bobby Mendes

CHANGE COMPLIANCE TO CHANGE THE GAME WITH THIS EVAR AND TEVAR TUTORIAL SERIES

In this three-episode tutorial series, Dr. Stefano Fazzini and Dr. Michel Bosiers provide an excellent overview on how IVL removes the barriers of calcified hostile access and expands treatment boundaries in EVAR and TEVAR procedures by changing vessel compliance, facilitating luminal gain and significantly reducing complications.

CHAPTER 1:

Challenges of Hostile Calcified Access & Existing Treatment Strategies

CHAPTER 2:

Understanding IVL and Where It Fits Into Our Practice

CHAPTER 3:

IVL and Hostile Access in Practice

CME: Utilizing Intravascular Lithotripsy for Large-Bore Access in EVAR and TEVAR Procedures

After participating in this activity, learners should be better able to:

 

  • Identify current best practices for large-bore access in endovascular repair of aortic aneurysm (EVAR) and thoracic endovascular repair of aorta (TEVAR) procedures
  • Understand the data surrounding lithotripsy for large-bore access
  • Safely obtain large-bore access during endovascular aortic repairs
Dr Anahita Dua headshot

Dr. Anahita Dua

Massachusetts General Hospital Boston, Massachusetts
dr joseph lombardi

Dr. Joseph Lombardi

Cooper University Health Care Camden, NJ
dr patrick muck headshot

Dr. Patrick Muck

Good Samaritan Hospital Cincinnati, Ohio
ATTEND CME

Allow safe EVAR in patients with severe calcification

Learn how Dr. Frank Arko uses IVL to modify calcium and enable EVAR/TEVAR access

Learn how Drs. Bosiers, Isernia and Fazzini utilize IVL to facilitate endograft delivery

shockwave cracked blue white RGB L6

BE LARGE & IN CHARGE

Introducing the New Shockwave L6 Peripheral IVL Catheter
Available in 8.0, 9.0, 10.0 and 12.0mm diameter sizes

LEARN MORE
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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

LEARN MORE
Shockwave M5+ IVL catheter

Ready to Make Waves with Shockwave IVL?

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