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Successful Valve-in-Valve Replacement Using Intravascular Lithotripsy for Femoral Access in an Elderly Patient With Critical Aortic Stenosis and Extensive Vascular Calcification

Borja Rivero-Santana, MD; Guillermo Galeote, MD, PhD; Alfonso Jurado-Roman, MD, PhD; Santiago Jiménez-Valero, MD, PhD; Ariana Gonzálvez-García MD; Raul Moreno, MD, PhD

05/20/2024
Video 1. The intravascular lithotripsy procedure: a 7- × 60-mm balloon was inflated at 4 atm over a 330-cm RG3 0.014-inch guidewire (Asahi). Five cycles of 30 pulses illustrate the lithotripsy process applied to modify femoral artery access.
Video 2. Post-procedure aortography showed the successful placement and function of the 23-mm ALLEGRA valve (Biosensors), with no significant aortic regurgitation evident.
Video 3. Iliofemoral angiography outcome: the final condition of the right iliofemoral system after the procedure showed no vascular complications. Radiopaque markers correspond to the MANTA vessel closure device (Teleflex).

Video Supplement to "Successful Valve-in-Valve Replacement Using Intravascular Lithotripsy for Femoral Access in an Elderly Patient With Critical Aortic Stenosis and Extensive Vascular Calcification" (Clinical Image).

© 2024 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of the Journal of Invasive Cardiology or HMP Global, their employees, and affiliates. 
 


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