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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Intravascular Lithotripsy-Assisted Transfemoral TAVI: The Copenhagen Experience and Literature Review

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Transcatheter aortic valve implantation (TAVI) is currently an established therapy for elderly patients with symptomatic severe aortic valve stenosis across all surgical risk categories. Access is an important aspect when planning for and performing TAVI. The superiority of a transfemoral (TF) approach compared to a transthoracic (transapical, direct aortic) approach has been demonstrated in several studies. Recently, the introduction of intravascular lithotripsy (IVL) has made it possible to treat patients with calcified iliofemoral disease by TF approach. This article aimed to provide a comprehensive overview on the following aspects: (1) preprocedural planning for IVL-assisted TF-TAVI; (2) procedural aspects in IVL-assisted TF-TAVI; (3) outcomes of IVL-assisted TF-TAVI in an experienced TAVI center; and (4) literature review and discussion of this new emerging approach.

Original languageEnglish
JournalFrontiers in Cardiovascular Medicine
Volume8
Pages (from-to)739750
ISSN2297-055X
DOIs
Publication statusPublished - 2021

Bibliographical note

Copyright © 2021 Sawaya, Bajoras, Vanhaverbeke, Wang, Bieliauskas, Søndergaard and De Backer.

    Research areas

  • transcatheter aortic valve implantation (TAVI), access, transfemoral (TF), calcified, lithotripsy

ID: 68414810