Case submitted by David Caparrelli, MD, Catholic Medical Center

Summary: Pre-procedure angiogram shows extensive calcification and tight stenoses distal to existing AAA graft. 7.0 x 60 mm Shockwave IVL delivered to left iliac artery. Post-IVL angiogram demonstrates suitable access diameter. 24 Fr Medtronic Valiant TEVAR graft safely delivered and deployed through iliac artery with no complications.