{"id":4092,"date":"2021-11-30T18:35:00","date_gmt":"2021-12-01T00:35:00","guid":{"rendered":"https:\/\/shockwavemedical.com\/stay-calmstay-transfemoral\/"},"modified":"2024-12-09T14:03:37","modified_gmt":"2024-12-09T20:03:37","slug":"stay-calm-stay-transfemoral-with-dr-ole-de-backer","status":"publish","type":"post","link":"https:\/\/shockwavemedical.com\/en-eu\/education\/stay-calm-stay-transfemoral-with-dr-ole-de-backer\/","title":{"rendered":"Stay Calm\u2026Stay Transfemoral"},"content":{"rendered":"\n<section id=\"block_bf4c271c96f708dcfe411c07f8df3ab3\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<p>Transfemoral access represents the gold standard for TAVI, with TF access showing a significant reduction in complications and mortality in comparison to alternative access strategies, which add additional complexity and risk to the procedure. Despite the wide acceptance that the transfemoral route provides the safest access for patients, the approach can be hindered by calcified iliac arteries inhibiting delivery of large bore devices by restricting the luminal diameter and reducing vessel compliance. If calcium is not treated adequately prior to TAVI delivery, this can lead to complications such as flow limiting dissection, vessel rupture and unsuccessful delivery of the implant.<\/p>\n<p>Watch as Dr. Ole De Backer of Rigshospitalet, Copenhagen walks you through how intravascular lithotripsy (IVL) has expanded the boundaries of transfemoral TAVI. During this tutorial series Dr. De Backer will provide a detailed explanation of why, how and when IVL can be utilised to improve procedural safety and outcomes for patients undergoing transfemoral TAVI where calcium proves to be an inhibiting factor.<\/p>\n<h3>Why Take the Transfemoral Route? IVL Pre TAVI Tutorial Chapter 1<\/h3>\n<div id=\"info\">\n<div class=\"hs-embed-wrapper\" data-service=\"youtube\" data-responsive=\"true\">\n<div class=\"hs-embed-content-wrapper\">\n<div class=\"video\"><iframe title=\"YouTube video player\" data-src=\"https:\/\/www.youtube.com\/embed\/CE08VZM0RPo?si=YABvOs9gaVhS0lx2\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" data-load-mode=\"1\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h3>Unique Mechanism of Action to Treat Calcium: IVL Pre TAVI Tutorial Chapter 2<\/h3>\n<div id=\"info\">\n<div class=\"hs-embed-wrapper\" data-service=\"youtube\" data-responsive=\"true\">\n<div class=\"hs-embed-content-wrapper\">\n<div class=\"video\"><iframe title=\"YouTube video player\" data-src=\"https:\/\/www.youtube.com\/embed\/4CQoVjzLA70?si=ltxMfOdETkYnXCrl\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" data-load-mode=\"1\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h3>The Copenhagen Experience: IVL Pre TAVI Tutorial Chapter 3<\/h3>\n<div id=\"info\">\n<div class=\"hs-embed-wrapper\" data-service=\"youtube\" data-responsive=\"true\">\n<div class=\"hs-embed-content-wrapper\">\n<div class=\"video\"><iframe title=\"YouTube video player\" data-src=\"https:\/\/www.youtube.com\/embed\/K_9bNVX5fe4?si=PTgqR6fwbobxKVM7\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" data-load-mode=\"1\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h3>How to Use IVL to Facilitate TF Access: IVL Pre TAVI Tutorial Chapter 4<\/h3>\n<div id=\"info\">\n<div class=\"hs-embed-wrapper\" data-service=\"youtube\" data-responsive=\"true\">\n<div class=\"hs-embed-content-wrapper\">\n<div class=\"video\"><iframe title=\"YouTube video player\" data-src=\"https:\/\/www.youtube.com\/embed\/_3IjlPtZpWY?si=Eoc-CPxtZ_pQtVU1\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" data-load-mode=\"1\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h3>IVL in Practice, Patient Selection and Cases: IVL Pre TAVI Tutorial Chapter 5<\/h3>\n<div id=\"info\">\n<div class=\"hs-embed-wrapper\" data-service=\"youtube\" data-responsive=\"true\">\n<div class=\"hs-embed-content-wrapper\">\n<div class=\"video\"><iframe title=\"YouTube video player\" data-src=\"https:\/\/www.youtube.com\/embed\/OBc3zxKebic?si=G-XQLzlcFl4_J7uw\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" data-load-mode=\"1\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>In addition to the tutorial series, check out the recent publication from Frontiers of Cardiovascular Medicine, which provides a comprehensive overview from Copenhagen of how IVL is simplifying extremely challenging transfemoral access in TAVI: <a href=\"https:\/\/doi.org\/10.3389\/fcvm.2021.739750\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.3389\/fcvm.2021.739750<\/a><\/p>\n<hr \/>\n<p><span class=\"legal_copy\">The physicians featured are paid consultants for Shockwave Medical.<\/span><\/p>\n<p><span class=\"legal_copy\"><strong>Important Safety Information<\/strong> <\/span><\/p>\n<p><span class=\"legal_copy\">Please contact your local Shockwave representative for specific country availability and refer to the Shockwave S4, Shockwave M5 and Shockwave M5+ instructions for use containing important safety information. <\/span><\/p>\n<p><span class=\"legal_copy\">Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.<\/span><\/p>\n<p><span class=\"legal_copy\"> Indication for Use \u2013 The Shockwave Medical Intravascular Lithotripsy (IVL) System is intended for lithotripsy-enhanced balloon dilatation of lesions, including calcified lesions, in the peripheral vasculature, including the iliac, femoral, ilio-femoral, popliteal, infra-popliteal, and renal arteries. Not for use in the coronary or cerebral vasculature. <\/span><\/p>\n<p><span class=\"legal_copy\">Contraindications \u2013 Do not use if unable to pass 0.014 guidewire across the lesion \u2022 Not intended for treatment of in-stent restenosis or in coronary, carotid, or cerebrovascular arteries. <\/span><\/p>\n<p><span class=\"legal_copy\">Warnings \u2013 Only to be used by physicians who are familiar with interventional vascular procedures \u2022 Physicians must be trained prior to use of the device \u2022 Use the Generator in accordance with recommended settings as stated in the Operator\u2019s Manual.<\/span><\/p>\n<p><span class=\"legal_copy\">Precautions \u2013 Use only the recommended balloon inflation medium \u2022 Appropriate anticoagulant therapy should be administered by the physician \u2022 Decision regarding use of distal protection should be made based on physician assessment of treatment lesion morphology.<\/span><\/p>\n<p><span class=\"legal_copy\">Adverse Effects \u2013 Possible adverse effects consistent with standard angioplasty include: \u2022 Access site complications \u2022 Allergy to contrast or blood thinners \u2022 Arterial bypass surgery \u2022 Bleeding complications \u2022 Death \u2022 Fracture of guidewire or device \u2022 Hypertension\/Hypotension \u2022 Infection\/sepsis \u2022 Placement of a stent \u2022 Renal failure \u2022 Shock\/pulmonary edema \u2022 Target vessel stenosis or occlusion \u2022 Vascular complications. Risks unique to the device and its use: \u2022 Allergy to catheter material(s) \u2022 Device malfunction or failure \u2022 Excess heat at target site. <\/span><\/p>\n<p><span class=\"legal_copy\">Prior to use, please reference the Instructions for Use for more information on indications, contraindications, warnings, precautions, and adverse events. <a href=\"http:\/\/www.shockwavemedical.com\">www.shockwavemedical.com<\/a><\/span><\/p>\n\t<\/div>\n\t<\/section>","protected":false},"excerpt":{"rendered":"<p>Watch as Dr Ole De Backer of Copenhagen walks you through how Intravascular Lithotripsy (IVL) has expanded the boundaries of transfemoral TAVI.<\/p>\n","protected":false},"author":2,"featured_media":3630,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":[203,204],"meta":{"_acf_changed":true,"content-type":"","footnotes":""},"categories":[17],"tags":[],"disease-state":[167,175],"education-topic":[183],"product-tag":[],"specialty":[328,344],"technology":[324],"class_list":["post-4092","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-en-uk","disease-state-peripheral-artery-disease-en-uk","disease-state-pre-tavr-tavi","education-topic-best-practices-en-uk","format-article-en-uk","format-video-en-uk","specialty-interventional-cardiologists-en-uk","specialty-vascular-surgeons-en-uk","technology-peripheral-ivl-en-uk"],"acf":[],"_links":{"self":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts\/4092","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/comments?post=4092"}],"version-history":[{"count":0,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/posts\/4092\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/media\/3630"}],"wp:attachment":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/media?parent=4092"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/categories?post=4092"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/tags?post=4092"},{"taxonomy":"disease-state","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/disease-state?post=4092"},{"taxonomy":"education-topic","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/education-topic?post=4092"},{"taxonomy":"format","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/format?post=4092"},{"taxonomy":"product-tag","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/product-tag?post=4092"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/specialty?post=4092"},{"taxonomy":"technology","embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/technology?post=4092"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}