Cargando…

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

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) appro...

Descripción completa

Detalles Bibliográficos
Autores principales: Sawaya, Fadi J., Bajoras, Vilhelmas, Vanhaverbeke, Maarten, Wang, Christina, Bieliauskas, Gintautas, Søndergaard, Lars, De Backer, Ole
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8492918/
https://www.ncbi.nlm.nih.gov/pubmed/34631837
http://dx.doi.org/10.3389/fcvm.2021.739750
_version_ 1784579015471792128
author Sawaya, Fadi J.
Bajoras, Vilhelmas
Vanhaverbeke, Maarten
Wang, Christina
Bieliauskas, Gintautas
Søndergaard, Lars
De Backer, Ole
author_facet Sawaya, Fadi J.
Bajoras, Vilhelmas
Vanhaverbeke, Maarten
Wang, Christina
Bieliauskas, Gintautas
Søndergaard, Lars
De Backer, Ole
author_sort Sawaya, Fadi J.
collection PubMed
description 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.
format Online
Article
Text
id pubmed-8492918
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-84929182021-10-07 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 Front Cardiovasc Med Cardiovascular Medicine 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. Frontiers Media S.A. 2021-09-22 /pmc/articles/PMC8492918/ /pubmed/34631837 http://dx.doi.org/10.3389/fcvm.2021.739750 Text en Copyright © 2021 Sawaya, Bajoras, Vanhaverbeke, Wang, Bieliauskas, Søndergaard and De Backer. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Sawaya, Fadi J.
Bajoras, Vilhelmas
Vanhaverbeke, Maarten
Wang, Christina
Bieliauskas, Gintautas
Søndergaard, Lars
De Backer, Ole
Intravascular Lithotripsy-Assisted Transfemoral TAVI: The Copenhagen Experience and Literature Review
title Intravascular Lithotripsy-Assisted Transfemoral TAVI: The Copenhagen Experience and Literature Review
title_full Intravascular Lithotripsy-Assisted Transfemoral TAVI: The Copenhagen Experience and Literature Review
title_fullStr Intravascular Lithotripsy-Assisted Transfemoral TAVI: The Copenhagen Experience and Literature Review
title_full_unstemmed Intravascular Lithotripsy-Assisted Transfemoral TAVI: The Copenhagen Experience and Literature Review
title_short Intravascular Lithotripsy-Assisted Transfemoral TAVI: The Copenhagen Experience and Literature Review
title_sort intravascular lithotripsy-assisted transfemoral tavi: the copenhagen experience and literature review
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8492918/
https://www.ncbi.nlm.nih.gov/pubmed/34631837
http://dx.doi.org/10.3389/fcvm.2021.739750
work_keys_str_mv AT sawayafadij intravascularlithotripsyassistedtransfemoraltavithecopenhagenexperienceandliteraturereview
AT bajorasvilhelmas intravascularlithotripsyassistedtransfemoraltavithecopenhagenexperienceandliteraturereview
AT vanhaverbekemaarten intravascularlithotripsyassistedtransfemoraltavithecopenhagenexperienceandliteraturereview
AT wangchristina intravascularlithotripsyassistedtransfemoraltavithecopenhagenexperienceandliteraturereview
AT bieliauskasgintautas intravascularlithotripsyassistedtransfemoraltavithecopenhagenexperienceandliteraturereview
AT søndergaardlars intravascularlithotripsyassistedtransfemoraltavithecopenhagenexperienceandliteraturereview
AT debackerole intravascularlithotripsyassistedtransfemoraltavithecopenhagenexperienceandliteraturereview