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

Fadi J. Sawaya; Vilhelmas Bajoras; Maarten Vanhaverbeke; Christina Wang; Gintautas Bieliauskas; Lars Søndergaard; Ole De Backer

doi:10.3389/fcvm.2021.739750

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

Fadi J. Sawaya, Vilhelmas Bajoras, Maarten Vanhaverbeke, Christina Wang, Gintautas Bieliauskas, Lars Søndergaard, Ole De Backer^*

^*Corresponding author for this work

Research output: Contribution to journal › Review › Research › peer-review

21 Citations (Scopus)

12 Downloads (Pure)

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.

Original language	English
Article number	739750
Journal	Frontiers in Cardiovascular Medicine
Volume	8
Number of pages	7
ISSN	2297-055X
DOIs	https://doi.org/10.3389/fcvm.2021.739750
Publication status	Published - 2021

Keywords

transcatheter aortic valve implantation (TAVI)
access
transfemoral (TF)
calcified
lithotripsy
AORTIC-VALVE-REPLACEMENT
ACCESS

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10.3389/fcvm.2021.739750Licence: CC BY

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Cite this

Intravascular Lithotripsy-Assisted Transfemoral TAVI : The Copenhagen Experience and Literature Review. / Sawaya, Fadi J.; Bajoras, Vilhelmas; Vanhaverbeke, Maarten; Wang, Christina; Bieliauskas, Gintautas; Søndergaard, Lars ; De Backer, Ole.

In: Frontiers in Cardiovascular Medicine, Vol. 8, 739750, 2021.

Research output: Contribution to journal › Review › Research › peer-review

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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.",

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AU - Wang, Christina

AU - Bieliauskas, Gintautas

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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.

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