Intravascular Lithotripsy of Negatively Remodeled Calcified Abdominal Aorta to Facilitate Transfemoral Transcatheter Aortic Valve Replacement

Takeshi Nishi; Jagadeesh Kumar Kalavakunta; Abhinav Sood; Jerry W. Pratt; Frank S. Saltiel; Vishal Gupta

doi:10.1016/j.jaccas.2025.106527

Intravascular Lithotripsy of Negatively Remodeled Calcified Abdominal Aorta to Facilitate Transfemoral Transcatheter Aortic Valve Replacement

JACC Case Reports 2026 Open access

Read full text

Authors: Takeshi Nishi, Jagadeesh Kumar Kalavakunta, Abhinav Sood, Jerry W. Pratt, Frank S. Saltiel, Vishal Gupta

DOI: 10.1016/j.jaccas.2025.106527

Cited by: 1

References: 5

Abstract

BACKGROUND: Transfemoral access is the preferred route for transcatheter aortic valve replacement (TAVR), but severe calcification and luminal narrowing of the iliofemoral artery or abdominal aorta may preclude safe large-bore sheath passage. Intravascular lithotripsy (IVL) has been increasingly used for iliofemoral vessel preparation, yet its application in the abdominal aorta has been rarely reported. CASE SUMMARY: An 84-year-old woman with symptomatic severe aortic stenosis was deemed high risk for transfemoral TAVR owing to severe narrowing with circumferential calcification of infrarenal aorta with luminal diameter

Fields of Study & Subjects

Cardiac Valve Diseases and Treatments Aortic Disease and Treatment Approaches Aortic aneurysm repair treatments

Publication details

Journal / source: JACC Case Reports
Publisher: Elsevier BV
Volume: 31
Issue: 7
Pages: 106527–106527
Publication date: 14 January 2026
Language: EN

References 5