In recent years, transcatheter aortic valve replacement (TAVR) and percutaneous mechanical circulatory support (MCS) systems have seen a widespread diffusion. These devices require the insertion of large femoral sheaths in a population of patients often presenting with calcific peripheral artery disease. Small and severely calcified iliac vessels are associated with increased risk of vascular complications or strategy changes such as the use of an alternative subclavian or transapical approach for TAVR or a conversion to surgery. Intravascular lithotripsy (IVL) technology applies mechanical pressure waves to modify vessel calcifications. It has been applied both in coronary and peripheral calcific disease with promising results. The use in vessel preparation before the insertion of large sheaths is an emerging application of this device.

Role of Lithotripsy for Small Calcified Iliacs in the Era of Big Devices / Ristalli, Francesca; Dini, Carlotta Sorini; Stolcova, Miroslava; Nardi, Giulia; Valente, Serafina; Meucci, Francesco; Di Mario, Carlo. - In: CURRENT CARDIOLOGY REPORTS. - ISSN 1523-3782. - ELETTRONICO. - 21:(2019), pp. 143-151. [10.1007/s11886-019-1245-2]

Role of Lithotripsy for Small Calcified Iliacs in the Era of Big Devices

Ristalli, Francesca;Stolcova, Miroslava;Nardi, Giulia;Di Mario, Carlo
2019

Abstract

In recent years, transcatheter aortic valve replacement (TAVR) and percutaneous mechanical circulatory support (MCS) systems have seen a widespread diffusion. These devices require the insertion of large femoral sheaths in a population of patients often presenting with calcific peripheral artery disease. Small and severely calcified iliac vessels are associated with increased risk of vascular complications or strategy changes such as the use of an alternative subclavian or transapical approach for TAVR or a conversion to surgery. Intravascular lithotripsy (IVL) technology applies mechanical pressure waves to modify vessel calcifications. It has been applied both in coronary and peripheral calcific disease with promising results. The use in vessel preparation before the insertion of large sheaths is an emerging application of this device.
2019
21
143
151
Goal 3: Good health and well-being for people
Ristalli, Francesca; Dini, Carlotta Sorini; Stolcova, Miroslava; Nardi, Giulia; Valente, Serafina; Meucci, Francesco; Di Mario, Carlo
File in questo prodotto:
File Dimensione Formato  
Ristalli F 2019 - Current Cardiology Reports 2019.pdf

Accesso chiuso

Tipologia: Pdf editoriale (Version of record)
Licenza: Tutti i diritti riservati
Dimensione 616.47 kB
Formato Adobe PDF
616.47 kB Adobe PDF   Richiedi una copia

I documenti in FLORE sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1216375
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 11
  • ???jsp.display-item.citation.isi??? 12
social impact