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Intravascular Lithotripsy-Assisted Transfemoral TAVI: The Copenhagen Experience and Literature Review

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@article{9d0c38bc5e9445f791207fc416c9a656,
title = "Intravascular Lithotripsy-Assisted Transfemoral TAVI: The Copenhagen Experience and Literature Review",
abstract = "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.",
keywords = "transcatheter aortic valve implantation (TAVI), access, transfemoral (TF), calcified, lithotripsy",
author = "Sawaya, {Fadi J} and Vilhelmas Bajoras and Maarten Vanhaverbeke and Christina Wang and Gintautas Bieliauskas and Lars S{\o}ndergaard and {De Backer}, Ole",
note = "Copyright {\textcopyright} 2021 Sawaya, Bajoras, Vanhaverbeke, Wang, Bieliauskas, S{\o}ndergaard and De Backer.",
year = "2021",
doi = "10.3389/fcvm.2021.739750",
language = "English",
volume = "8",
pages = "739750",
journal = "Frontiers in Cardiovascular Medicine",
issn = "2297-055X",
publisher = "Frontiers Media S.A.",

}

RIS

TY - JOUR

T1 - Intravascular Lithotripsy-Assisted Transfemoral TAVI

T2 - The Copenhagen Experience and Literature Review

AU - Sawaya, Fadi J

AU - Bajoras, Vilhelmas

AU - Vanhaverbeke, Maarten

AU - Wang, Christina

AU - Bieliauskas, Gintautas

AU - Søndergaard, Lars

AU - De Backer, Ole

N1 - Copyright © 2021 Sawaya, Bajoras, Vanhaverbeke, Wang, Bieliauskas, Søndergaard and De Backer.

PY - 2021

Y1 - 2021

N2 - 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.

AB - 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.

KW - transcatheter aortic valve implantation (TAVI)

KW - access

KW - transfemoral (TF)

KW - calcified

KW - lithotripsy

U2 - 10.3389/fcvm.2021.739750

DO - 10.3389/fcvm.2021.739750

M3 - Journal article

C2 - 34631837

VL - 8

SP - 739750

JO - Frontiers in Cardiovascular Medicine

JF - Frontiers in Cardiovascular Medicine

SN - 2297-055X

ER -

ID: 68414810