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Rigshospitalet - a part of Copenhagen University Hospital
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Intravascular iliac artery lithotripsy to enable transfemoral thoracic endovascular aortic repair

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

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  3. Overexpansion of older generation balloon expandable transcatheter heart valves: An ex-vivo bench study

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  1. Vitamin K antagonists vs. direct oral anticoagulants after transcatheter aortic valve implantation in atrial fibrillation

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  2. Coronary Access After TAVR-in-TAVR as Evaluated by Multidetector Computed Tomography

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  3. Vascular function in adults with cyanotic congenital heart disease

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  4. Implications of hydrodynamic testing to guide sizing of self-expanding transcatheter heart valves for valve-in-valve procedures

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Performance of the TRUE dilatation balloon valvuloplasty catheter beyond rated burst pressure: A bench study

    Research output: Contribution to journalJournal articleResearchpeer-review

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Thoracic endovascular aortic repair (TEVAR) is performed with large-bore delivery systems. Small-size access vessels may be a contraindication for TEVAR, particularly in case of severe calcifications. In this case report, we describe the first-in-man use of intravascular lithotripsy to enable transfemoral delivery of TEVAR stent grafts in a patient with severely calcified iliac arteries. A 69-year-old female with multiple sclerosis and thoracic aortic aneurysm (TAA) was referred for percutaneous TEVAR. Both common iliac arteries were severely calcified with circumferential calcifications and a minimum diameter below 5.5 mm. In order to enable percutaneous delivery of 20 French Valiant Navion stent grafts (Medtronic), the circumferential calcified plaques were treated by use of a Shockwave™ Peripheral Intravascular Lithotripsy Balloon (Shockwave Medical Inc.). Subsequently, the aortic stent grafts were safely and successfully passed through the iliofemoral artery and the TAA was excluded by TEVAR. Final angiography showed normal flow in the iliofemoral artery without any signs of perforation or overt dissection. This case report demonstrates successful application of intravascular lithotripsy in calcified iliofemoral arteries enabling percutaneous transfemoral TEVAR. If confirmed in future cases and trials, indications for transfemoral TEVAR may further expand toward patients with severely calcified peripheral arterial disease.

Original languageEnglish
JournalCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
Volume95
Issue number3
Pages (from-to)E96-E99
ISSN1522-1946
DOIs
Publication statusPublished - 15 Feb 2020

    Research areas

  • aortic disease, aortic repair, aorto-iliac disease, atherosclerosis, endovascular, new devices (in general)

ID: 59142914