Transfemoral access represents the gold standard for TAVI, with TF access showing a significant reduction in complications and mortality in comparison to alternative access strategies, which add additional complexity and risk to the procedure. Despite the wide acceptance that the transfemoral route provides the safest access for patients, the approach can be hindered by calcified iliac arteries inhibiting delivery of large bore devices by restricting the luminal diameter and reducing vessel compliance. If calcium is not treated adequately prior to TAVI delivery, this can lead to complications such as flow limiting dissection, vessel rupture and unsuccessful delivery of the implant.
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Topics:
Peripheral IVL,
Peripheral Cases,
Peripheral Clinical Data
In the recent Cardiovascular Revascularization Medicine article, “First United States experience with RotaShock: A case series,” Drs. Gautam Kumar and Rajesh Sachdeva of Emory and Atlanta VA Medical Center recount three successful cases using the RotaShock technique, a combination of rotational atherectomy with IVL for severely calcified vessels. Following its publication, we engaged them in a highly educational Q&A discussion about how the two technologies are very complementary to each other, and the new strategy can be used either electively or as a rescue. We hope you enjoy their additional perspective.
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Dr. Srinivasa Potluri, Chair of the Department of Cardiology and Director of the Cardiac Catheterization Laboratory at Baylor Scott and White, The Heart Hospital in Plano, speaks about his valuable experience with coronary IVL. Dr. Potluri also shares a clinical case with severe ostial RCA and the value of coronary IVL in vessel preparation strategy in the presence of a heavy coronary calcium burden.
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Topics:
Coronary IVL,
Coronary Cases,
Shockwave C2,
Coronary IVL - U.S.,
Calcium Corner
Winter is coming… and fast but before we enter the final home stretch of the year, let’s recount the milestones of the recent quarter in the latest edition of the PulsePoint Newsletter. Shockwave hit the ground running this quarter by bringing on various IVL experts from across the globe to discuss all things calcium on the ChalkTalk Podcast Series. Shockwave also made headlines in CathLab Digest with several physician-authored perspectives about the role of the technology in clinical practice. And it was great to finally get back to live, in-person conferences like VIVA ’21, where the results from the first 752 patients in the Disrupt PAD III Observational Study were presented. Catch up on what you may have missed and don’t forget watch the CalciumMasterclass.com series finale!
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Topics:
Coronary IVL,
IVL Case,
Peripheral IVL,
IVL Technology,
Coronary Cases,
Peripheral Cases,
Shockwave C2,
Shockwave M5,
Shockwave S4,
PulsePoint Newsletter,
Coronary IVL - U.S.
On Thursday, November 18, join us and six IVL experts at VEITH 2021 to hear how Intravascular Lithotripsy (IVL) works across multiple vessel beds.
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Topics:
Peripheral IVL,
DISRUPT PAD,
Peripheral Cases,
Peripheral Conferences,
Peripheral Clinical Data
Q&A with Dr. Akiko Maehara about the Disrupt CAD Pooled OCT Calcific Nodules Analysis at TCT21
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Topics:
Coronary IVL
Q&A with Dr. Ziad Ali about the Disrupt CAD Pooled OCT Eccentric vs Concentric Analysis at TCT21
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Topics:
Coronary IVL
Q&A with Dr. Yasin Hussain about the Disrupt CAD Pooled Female vs. Male Analysis at TCT21
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Topics:
Coronary IVL
Q&A with Dr. Dean Kereiakes about the Disrupt CAD III 1yr Data at TCT21
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Topics:
Coronary IVL
Calcium causes a magnitude of problems in EVAR and TEVAR procedures. Calcium can inhibit stent graft delivery leading to significant dissection or perforation of the iliac arteries. Calcium can also affect expansion of iliac limbs leading to increased risk of under expansion and stent graft thrombosis.
Watch as Dr. Stefano Fazzini, Tor Vergata University Hospital, Italy walks you through how Shockwave IVL can help alleviate access challenges while minimizing complications and the need for secondary interventions.
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Topics:
Peripheral IVL,
DISRUPT PAD,
Peripheral Cases,
Peripheral Conferences,
Peripheral Clinical Data
