Learn about Alternative Access Approaches and Techniques for TAVR in this case-based webcast CME certification, led by Drs. James McCabe, Ole De Backer, Chandan Devireddy, and Pradeep Yadav.
Intended Learners
This activity is designed for interventional cardiologists, vascular surgeons, interventional radiologists, nurses, PAs, vascular and interventional technologists.
Learning Objectives
After completing this activity, participants should be able to:
- Understand the challenges associated with calcified iliac arteries
- Understand the need for nonfemoral TAVR access, and identify various alternative access approaches before TAVR, the treatment algorithm, advantages, risks, and data supporting each
- Identify potential approaches for incorporating intravascular lithotripsy for pre-TAVR access, including supporting data and potential cost impact
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Important Safety Information
Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.
Indication for Use – The Shockwave Medical Intravascular Lithotripsy (IVL) System is intended for lithotripsy-enhanced balloon dilatation of lesions, including calcified lesions, in the peripheral vasculature, including the iliac, femoral, ilio-femoral, popliteal, infra-popliteal, and renal arteries. Not for use in the coronary or cerebral vasculature.
Contraindications – Do not use if unable to pass 0.014 guidewire across the lesion • Not intended for treatment of in-stent restenosis or in coronary, carotid, or cerebrovascular arteries.
Warnings – Only to be used by physicians who are familiar with interventional vascular procedures • Physicians must be trained prior to use of the device • Use the Generator in accordance with recommended settings as stated in the Operator’s Manual
Precautions – Use only the recommended balloon inflation medium • Appropriate anticoagulant therapy should be administered by the physician • Decision regarding use of distal protection should be made based on physician assessment of treatment lesion morphology
Adverse Effects – Possible adverse effects consistent with standard angioplasty include: • Access site complications • Allergy to contrast or blood thinners • Arterial bypass surgery • Bleeding complications • Death • Fracture of guidewire or device • Hypertension/Hypotension • Infection/sepsis • Placement of a stent • Renal failure • Shock/pulmonary edema • Target vessel stenosis or occlusion • Vascular complications. Risks unique to the device and its use: • Allergy to catheter material(s) • Device malfunction or failure • Excess heat at target site
Prior to use, please reference the Instructions for Use for more information on indications, contraindications, warnings, precautions, and adverse events. www.shockwavemedical.com
