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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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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 |
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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 |
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