Iliac "paving & cracking" technique for transcatheter aortic valve implantation

Catheter Cardiovasc Interv. 2022 Sep;100(3):464-470. doi: 10.1002/ccd.30344. Epub 2022 Jul 28.

Abstract

Challenging femoral/iliac access (CA) can lead to vascular complications which can hamper the clinical benefit of transfemoral (TF) transcatheter aortic valve implantation (TAVI). In this sense, iliac artery rupture is a severe complication associated with significant morbidity and mortality. We report a case of TF-TAVI managed with the "paving and cracking technique" to overcome CA.

Keywords: endoconduit; hostile femoral-iliac access; iliac PTA; intravascular lithotripsy; transfemoral-TAVI.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / complications
  • Aortic Valve Stenosis* / diagnostic imaging
  • Aortic Valve Stenosis* / surgery
  • Femoral Artery / diagnostic imaging
  • Humans
  • Transcatheter Aortic Valve Replacement* / adverse effects
  • Transcatheter Aortic Valve Replacement* / methods
  • Treatment Outcome